Dumping Symptoms and Incidence of Hypoglycaemia After Provocation Test at 6 and 12 Months After Laparoscopic Sleeve Gastrectomy
Abstract
Background A previous study has demonstrated that symptoms suggestive of dumping syndrome appear after a provocation test early after laparoscopic sleeve gastrectomy (LSG) in 45 % of patients, and these are mainly related to early dumping. The aim of this study is to evaluate the evolution of dumping symptoms during the first postoperative year. Methods Twenty-five non-diabetic morbidly obese patients (6 male, 19 female) were evaluated with an oral glucose tolerance test (OGTT) preoperatively, at 6 weeks and at 6 months postoperatively. In addition, 12 of them repeated the OGTT at 12 months after LSG. Sigstad score was used to separate dumpers from non-dumpers and Arts' questionnaire to differentiate between early and late dumping. Insulin and glucose levels were also measured. Results Sigstad score remained significantly elevated at 6 and 12 months postoperatively compared to preoperative values. Symptoms suggestive of dumping syndrome were recorded in 40 % of patients at 6 months and in 33 % at 12 months postoperatively. Arts' questionnaire demonstrated that early dumping score remained higher compared to baseline at 6 and 12 months postoperatively. Late dumping scores increased gradually during the time and that difference was statistically significant at 12 months after LSG. Hypoglycaemia occurred at 33 % of patients both at 6 and 12 months postoperatively. Conclusions Symptoms suggestive of dumping syndrome after provocation still exist at 6 and 12 months in a significan…
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Symptoms suggestive of early and late dumping syndrome may be severe and persist in some patients many years after surgery.
“Symptoms suggestive of early and late dumping syndrome may be severe and persist in some patients many years after surgery (7,14).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [7]
The diagnostic accuracy of the Sigstad's scoring questionnaire in bariatric patients or after upper GI cancer surgery has not been established.
“The diagnostic accuracy of the Sigstad's scoring questionnaire in bariatric patients or after upper GI cancer surgery has not been established (7).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [7]
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Biology of Incretins: GLP-1 and GIP
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Arts, J., Caenepeel, P., Bisschops, R., Dewulf, D., Holvoet, L., Piessevaux, H., Bourgeois, S., Sifrim, D., Janssens, J., & Tack, J. (2009) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2008.11.025 · Cited by 142 · cited 1× · see citing works
“The Sigstad scoring system [17] was used for diagnosis of dumping syndrome (score >7), whereas the Arts’ questionnaire [18] was used for differentiating between early and late dumping.”
MethodTzovaras, G., Papamargaritis, D., Sioka, E., Zachari, E., Baloyiannis, I., Zacharoulis, D., & Koukoulis, G. (2012) · Obesity Surgery · doi:10.1007/s11695-011-0461-7 · Cited by 97 · cited 5× · see citing works
“In our previous study, we showed that after an oral provocation test during the early post-LSG period (6 weeks), symptoms suggestive of dumping syndrome appear in 45 % of patients and these symptoms are mainly related to early dumping [15].”
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van Beek, A. P., Emous, M., Laville, M., & Tack, J. (2017) · Obesity Reviews · doi:10.1111/obr.12467 · Cited by 288 · see citing works
“The diagnostic accuracy of the Sigstad’s scoring questionnaire in bariatric patients or after upper GI cancer surgery has not been established (7).”
BackgroundComplications of bariatric surgery: Dumping syndrome, reflux and vitamin deficiencies
Tack, J., & Deloose, E. (2014) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2014.07.010 · Cited by 181 · see citing works
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“However, short-term data on VSG suggests up to 33% of patients have hypoglycemia upon oral glucose tolerance test postoperatively (23).”
BackgroundDo Gut Hormones Contribute to Weight Loss and Glycaemic Outcomes after Bariatric Surgery?
Papamargaritis, D., & le Roux, C. W. (2021) · Nutrients · doi:10.3390/nu13030762 · Cited by 68 · see citing works
Self-citationInsulinoma After Bariatric Surgery: Diagnostic Dilemma and Therapeutic Approaches
Mulla, C. M., Storino, A., Yee, E. U., Lautz, D., Sawnhey, M. S., Moser, A. J., & Patti, M.-E. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2092-5 · Cited by 40 · see citing works
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- Authors
- Papamargaritis, D., Koukoulis, G., Sioka, E., Zachari, E., Bargiota, A., Zacharoulis, D., & Tzovaras, G.
- Affiliations
- University Hospital of Larissa (GR)
- Corresponding author
- Tzovaras, George
- Venue
- Obesity Surgery
- Published
- 2012-07-07
- Volume
- 22
- Issue
- 10
- Pages
- 1600-1606
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W2003154817
- Cited by
- 112
- References
- 3
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8 · 2023: 14 · 2022: 5 · 2021: 4 · 2020: 7 · 2019: 15 · 2018: 9 · 2017: 7 · 2016: 13 · 2015: 11 · 2014: 7 · 2013: 4
- FWCI
- 7.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Keywords
- dumping syndrome, laparoscopic sleeve gastrectomy
- MeSH terms
- Adult, Dumping Syndrome, Feeding Behavior, Female, Follow-Up Studies, Glucose Tolerance Test, Humans, Hypoglycemia, Male, Obesity, Morbid, Laparoscopy, Surveys and Questionnaires, Time Factors, Gastroplasty, Body Mass Index, Incidence, Treatment Outcome
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