Analysis of the dumping syndrome on morbid obese patients submitted to Roux en Y gastric bypass

Angelo Bustani Loss Antônio Augusto Peixoto de Souza Cid Araújo Pitombo Marcel Milcent Fernando Athaíde Veloso Madureira About the authors

OBJECTIVE: The objective of this research was to determine the real prevalence and characteristics of dumping syndrome in a series of cases submitted to laparoscopic Roux-en-Y gastric bypass for morbid obesity. METHODS: We assessed dumping symptoms in 34 patients who had undergone that procedure; they filled a questionnaire, which included the dumping clinical diagnosis score proposed by Sigstad. RESULTS: regarding patients' complaints, dumping prevalence was 44%. This number increased to 76% when applying the Sigstad's score. The most frequent symptoms were "need for lying down" (88%), fatigue (69%) and sleepiness (69%). Only 28% of the dumpers felt incapable of performing everyday activities. There was no difference in weight loss percentage between dumpers and non-dumpers. CONCLUSION: The Sigstad score is an usefull tool for the diagnostic of dumping, but a critic vision must be adopted when using in pacients submited to the Roux en Y gastric bypass. The dumping syndrome was frequent in this group, although usually under-diagnosed; it neither hampers patients' everyday activities considerably, nor helps in the weight-loosing process.

Dumping syndrome; Dumping syndrome; Morbid obesity; Bariatric surgery; Anastomosis, Roux-en-Y


Colégio Brasileiro de Cirurgiões Rua Visconde de Silva, 52 - 3º andar, 22271- 090 Rio de Janeiro - RJ, Tel.: +55 21 2138-0659, Fax: (55 21) 2286-2595 - Rio de Janeiro - RJ - Brazil
E-mail: revista@cbc.org.br