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Early dumping syndrome is not a complication but a desirable feature of Roux‐en‐Y gastric bypass surgery
Author(s) -
Laurenius A.,
Engström M.
Publication year - 2016
Publication title -
clinical obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 12
eISSN - 1758-8111
pISSN - 1758-8103
DOI - 10.1111/cob.12158
Subject(s) - medicine , roux en y anastomosis , gastric bypass , gastric bypass surgery , dumping syndrome , complication , surgery , general surgery , gastrectomy , obesity , weight loss , cancer
Summary Early dumping syndrome after gastric bypass surgery due to rapid delivery of hyperosmolar nutrients into the bowel causing intense symptoms is often described as a complication. Twelve patients, mean age 47 years, were interviewed approximately 9 years post‐operation. The interviews were audiotaped and transcribed verbatim, followed by an inductive content analysis to reveal patients' experience of the dumping syndrome. The core category ‘Dumping syndrome is a positive consequence of Roux‐en‐Y gastric bypass surgery and a tool to control food intake’ was identified based on the following four sub‐categories: (i) ‘The multidimensional emergence and effects of dumping syndrome’, (ii) ‘Dumping syndrome as something positive although unpleasant’, (iii) ‘Developing coping mechanisms and ingenious strategies’ and (iv) ‘My own fault if I expose myself to dumping syndrome’. From the patients' perspective, dumping syndrome gives control over food intake; although the symptoms were unpleasant, patients considered dumping syndrome as a positive protection against over‐consumption. Hence, healthcare professionals should not present dumping syndrome as a complication but rather as an aid to control eating behaviour and excessive food intake.