European Journal of Case Reports in Internal Medicine (Jul 2019)

Dumping Syndrome: A Rare Complication Following Nissen Fundoplication

  • Joana Bernardino Cardoso,
  • David Sousa,
  • Cátia Pereira,
  • João Rua,
  • Ana Teixeira,
  • Jorge Fortuna,
  • Armando Carvalho

DOI
https://doi.org/10.12890/2019_001177

Abstract

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Dumping syndrome (DS) is a debilitating entity with gastrointestinal and vasomotor symptoms due to rapid gastric emptying. It is a rare complication of Nissen fundoplication in adults. We report the case of a patient with oesophageal compressive symptoms (dysphagia, oesophageal food impaction and regurgitation) and frequent episodes of sweating and hypoglycaemia after a Nissen fundoplication to treat gastroesophageal reflux disease. Investigation revealed severe oesophagogastric stenosis and excluded insulinoma and other causes of hypoglycaemia. An oral glucose tolerance test and gastric emptying scintigraphy were performed, supporting the diagnosis of DS.

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