CoChat
Sign Up
Cited by 181Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

Complications of bariatric surgery: Dumping syndrome, reflux and vitamin deficiencies

Tack, Jan, Deloose, Eveline·2014·Best Practice & Research Clinical Gastroenterology
DOI 10.1016/j.bpg.2014.07.010
Open this paper in CoChat — free account

Abstract

Bariatric surgical procedure are increasingly and successfully applied in the treatment of morbid obesity. Nevertheless, these procedures are not devoid of potential long-term complications. Dumping syndrome may occur after procedures involving at least partial gastric resection or bypass, including Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy. Diagnosis is based on clinical alertness and glucose tolerance testing. Treatment may involve dietary measures, acarbose and somatostatin analogues, or surgical reintervention for refractory cases. Gastro-esophageal reflux disease (GERD) can be aggravated by vertical banded gastroplasty and sleeve gastrectomy procedures, but pre-existing GERD may improve after RYGB and with adjustable gastric banding. Nutrient deficiencies constitute the most important long-term complications of bariatric interventions, as they may lead to haematological, metabolic and especially neurological disorders which are not always reversible. Malabsorptive procedures, poor postoperative nutrient intake, recurrent vomiting and poor compliance with vitamin supplement intake and regular follow-up are important risk factors. Preoperative nutritional assessment and rigourous postoperative follow-up plan with administration of multi-vitamin supplements and assessment of serum levels is recommended in all patients.

Integrity signals

Registry

Crossref · 10.1016/j.bpg.2014.07.010

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Early dumping occurs within 1 h after eating, when rapid emptying of food into the small intestine triggers rapid fluid shifts into the intestinal lumen and release of gastrointestinal hormones, resulting in gastrointestinal and vasomotor symptoms.

    “Early dumping occurs within 1 h after eating, when rapid emptying of food into the small intestine triggers rapid fluid shifts into the intestinal lumen and release of gastrointestinal hormones, resulting in gastrointestinal and vasomotor symptoms.”

    From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [2]

  • Dumping syndrome is not a single disease entity but consists of a constellation of symptoms that can be categorized as early dumping or late dumping symptoms.

    “Dumping syndrome is not a single disease entity but, instead, consists of a constellation of symptoms that can be categorized as early dumping or late dumping symptoms (1,2).”

    From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [2]

  • Early dumping is characterized by gastrointestinal symptoms such as abdominal pain, bloating, borborygmi, nausea, and diarrhoea, and vasomotor symptoms such as fatigue, desire to lie down after meals, flushing, palpitations, perspiration, tachycardia, hypotension, and, rarely, syncope.

    “Early dumping is characterized by gastrointestinal (GI) symptoms such as abdominal pain, bloating, borborygmi, nausea, and diarrhoea, and vasomotor symptoms such as fatigue, desire to lie down after meals, flushing, palpitations, perspiration, tachycardia, hypotension, and, rarely, syncope (1,2).”

    From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [2]

  • Alterations in gastric anatomy or interference with its intrinsic innervation disturb gastric emptying mechanisms and allow a substantial amount of undigested food to reach the small intestine too rapidly.

    “Alterations in gastric anatomy or interference with its intrinsic innervation disturb gastric emptying mechanisms and allow a substantial amount of undigested food to reach the small intestine too rapidly (1,2).”

    From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [2]

  • Hypoglycemia-related symptoms are related to neuroglycopenia (fatigue, weakness, confusion, hunger and syncope) and autonomic/adrenergic reactivity (perspiration, palpitations, tremor and irritability).

    “Hypoglycemia-related symptoms are related to neuroglycopenia (fatigue, weakness, confusion, hunger and syncope) and autonomic/adrenergic reactivity (perspiration, palpitations, tremor and irritability) (1,2).”

    From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [2]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Tack, J., & Deloose, E.
Affiliations
KU Leuven (BE)
Corresponding author
Tack, Jan
ORCID
Venue
Best Practice & Research Clinical Gastroenterology
Publisher
Elsevier BV
Published
2014-08
Volume
28
Issue
4
Pages
741-749
ISSN
1521-6918 (ISSN-L)
DOI
10.1016/j.bpg.2014.07.010
OpenAlex
W2116949156
Cited by
181
References
33
Citations by year
2026: 12 · 2025: 11 · 2024: 13 · 2023: 10 · 2022: 12 · 2021: 16 · 2020: 12 · 2019: 14 · 2018: 17 · 2017: 14 · 2016: 29 · 2015: 17 · 2014: 4
FWCI
4.03
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Best Practice & Research Clinical Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
bariatric surgery complications, dumping syndrome, gastroesophageal reflux disease, vitamin deficiency, Roux-en-Y gastric bypass, sleeve gastrectomy, vertical banded gastroplasty, gastric banding, malabsorptive surgery, acarbose, somatostatin analogues, glucose tolerance test, vitamin supplementation, morbid obesity
MeSH terms
Avitaminosis, Dumping Syndrome, Gastroesophageal Reflux, Humans, Obesity, Morbid, Gastric Bypass, Bariatric Surgery

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review