Dumping syndrome

Abstract

The term "dumping-stomach" to denote the pathological condition in patients after gastroenterostomy for gastric ulcer was proposed by Mix and Andrews in 1920. In 1935, in the monograph of Easterman and Balfour, the appearance of rapid evacuation was described for the first time not only after gastroenterostomy, but also after gastric resection; the authors called this complication "dumping stomach". Gilbert and Dunlop (1947) applied the term "dumping syndrome". For the first time, the secondary dyspeptic syndrome after gastroenterostomy was described by Denesho (1907). Hertz (1911, 1913) pointed out that the emptying of the stomach was too fast after gastroenteroanastomosis, imposed due to gastric ulcer. There are about 60-70 names of the syndrome in the literature: hyperglycemic [10, 17], hypoglycemic [33, 62], hormonal, postgastroresection [27], alimentary-enterogenic vegetative [34], enterogenic asthenia [5], etc. More often, especially abroad, they use the name "dumping syndrome". In the Russian literature, the term "agastric asthenia" is used, proposed by A. A. Busalov to designate a number of pathological conditions after gastric resection, including dumping syndrome. I. D. Tonasienko reasonably believes that agastric asthenia and dumping syndrome should be separated. Agastric asthenia is a chronic condition caused by a violation of a number of functions after gastric resection; dumping syndrome depends on the nature of the food taken, has a paroxysmal character and has little effect on the general condition of patients. Therefore, it is necessary to differentiate more carefully the various conditions after gastric resection, without using the generalized term "agastric asthenia".