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dumping syndrome[′dəmp·iŋ ‚sin‚drōm]
agastric asthenia, an illness that arises in some patients after partial or complete removal of the stomach, as a result of disruption of the neural and enzymatic correlations of organs that participate in digestion.
Observed in the dumping syndrome, as a rule, are accelerated emptying (“dumping”) of food from the remaining part (stump) of the stomach into the intestine and disturbance of carbohydrate metabolism and of the function of the remaining portion of the stomach or of the intestine. An attack begins after eating (most often upon taking readily assimilated food that is rich in carbohydrates); it is manifested by severe general weakness (sometimes with suspension of consciousness), dizziness, profuse sweating, increase in pulse rate and a drop in arterial pressure (sometimes a rise), drowsiness, belching, regurgitation or vomiting, and pains in the epigastrium. Treatment consists in eating on a definite regimen, limiting carbohydrate consumption, replacing deficient enzymes and vitamins and, sometimes (if the patient is in poor condition), operating again.
A. B. GALITSKII