The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Large-Scale Investigation into Dumping Syndrome after Gastrectomy for Gastric Cancer
Open accessAbstract
BACKGROUND: The aim of this study was to investigate early and late dumping syndromes in a large number of patients after gastrectomy for gastric cancer. STUDY DESIGN: Responses to questions on a visual analogue scale survey completed by 1,153 gastrectomy patients were analyzed for associations between clinical factors and occurrence of dumping syndrome. Types of gastrectomy included distal gastrectomy with Billroth I or with Roux-Y reconstruction, pylorus preserving gastrectomy, proximal gastrectomy, and total gastrectomy. RESULTS: Based on the visual analogue scale rating of symptomatic discomfort, patients were categorized into 1 of 2 groups: symptom-free or symptomatic. Incidences of early or late dumping syndrome in all patients were 67.6% and 38.4%, respectively. Patients in whom early dumping syndrome developed were significantly more likely to experience late dumping syndrome than those in whom it did not develop (p < 0.001). According to multivariate analyses, factors that decreased the risk for developing early dumping syndrome were reduced weight loss (p < 0.01), old age (p < 0.01), pylorus preserving gastrectomy (p < 0.01), distal gastrectomy with Roux-Y reconstruction (p < 0.01), and distal gastrectomy with Billroth I (p = 0.019). In addition, factors that decreased the risk of developing late dumping syndrome were reduced weight loss (p = 0.03), being male (p < 0.01), pylorus preserving gastrectomy (p < 0.01), and distal gastrectomy with Roux-Y reconstruction (p < 0.01). No other clinical factors (lymph node dissection, vagal nerve preservation, and postoperative period) showed a substantial association with the occurrence of dumping syndrome in multivariate analyses. CONCLUSIONS: Substantially more patients suffered from early dumping syndrome than late dumping syndrome after gastrectomy. Two clinical factors, surgical procedures and amount of body weight loss, associated significantly with the occurrence of both early and late dumping syndrome.
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“A relatively recent report also describes the use of a visual analogue scale (VAS) survey to evaluate early and late dumping syndromes in more than 1,000 patients after gastrectomy for gastric cancer (32).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [32]
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“This survey used a very low cutoff for dumping complaints (VAS score >10 mm), and a single item on the questionnaire was sufficient to label patients as symptomatic for late dumping (32).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [32]
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Citations
Cites
Clinical applications of visual analogue scales: a critical review
McCormack, H. M., Horne, D. J. D. L., & Sheather, S. J. (1988) · Psychological Medicine · doi:10.1017/s0033291700009934 · Cited by 2,108
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice
Townsend, C. M. (2007) · Andalas University Repository (Andalas University) · Cited by 807
Tacke, W., & Hausmann, L. (1990) · PubMed · Cited by 338
Postprandial GLP-1, Norepinephrine, and Reactive Hypoglycemia in Dumping Syndrome
Gebhard, B., Holst, J. J., Biegelmayer, C., & Miholic, J. (2001) · Digestive Diseases and Sciences · doi:10.1023/a:1010635131228 · Cited by 92
THE SO-CALLED “DUMPING SYNDROME” AFTER SUBTOTAL GASTRECTOMY
Custer, M. D., Butt, H. R., & Waugh, J. M. (1946) · Annals of Surgery · doi:10.1097/00000658-194603000-00007 · Cited by 81
Improved quality of life with jejunal pouch reconstruction after total gastrectomy
Kono, K., Iizuka, H., Sekikawa, T., Sugai, H., Takahashi, A., Fujii, H., & Matsumoto, Y. (2003) · The American Journal of Surgery · doi:10.1016/s0002-9610(02)01211-4 · Cited by 80
Shibata, C., Shiiba, K., Funayama, Y., Ishii, S., Fukushima, K., Mizoi, T., Koyama, K., Miura, K., Matsuno, S., Naito, H., et al. (2004) · World Journal of Surgery · doi:10.1007/s00268-004-7369-5 · Cited by 71
Surgical Treatment of Advanced Gastric Cancer: Japanese Perspective
Sasako, M., Saka, M., Fukagawa, T., Katai, H., & Sano, T. (2007) · Digestive Surgery · doi:10.1159/000101896 · Cited by 68
Self-citationLength of the antral segment in pylorus-preserving gastrectomy
Nakane, Y., Michiura, T., Inoue, K., Sato, M., Nakai, K., & Yamamichi, K. (2002) · British journal of surgery · doi:10.1046/j.1365-2168.2002.01984.x · Cited by 64
Tomita, R., Fujisaki, S., & Tanjoh, K. (2003) · World Journal of Surgery · doi:10.1007/s00268-003-6906-y · Cited by 55
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Pak, K. H., & Noh, S. H. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2223-9_13
“According to a recent Japanese large-scale investigation into dumping syndrome after gastrectomy for gastric cancer, [22] many more patients suffer from early dumping syndrome (67.”
BackgroundChen, M., Peng, J., Lai, H., Wang, S., Liu, C., & Wu, Q. (2025) · Journal of Surgical Oncology · doi:10.1002/jso.70171
“Shinji Mine et al. found that both LPPG and LDG with RY reconstruction significantly reduced the incidence of early dumping syndrome and late dumping syndrome [27].”
Park, J. Y., Kwon, O. K., Park, K. B., Choi, Y., & Jeon, J. (2026) · Current Problems in Surgery · doi:10.1016/j.cpsurg.2026.101988
Pylorus‐Preserving Gastrectomy for Gastric Cancer: Current Evidence and Future Directions
Kim, S.-H., & Lee, H. K. (2026) · Annals of Gastroenterological Surgery · doi:10.1002/ags3.70238
“In a large-scale investigation of 1 153 patients undergoing various types of gastrectomy, PPG demonstrated the lowest incidence of dumping syndrome [59].”
Chuman, M., Okuno, K., Yamashita, K., Fujita, S., Ushiku, H., Harada, H., Higuchi, T., Niihara, M., Kumagai, K., Naitoh, T., et al. (2026) · Nutrition · doi:10.1016/j.nut.2026.113346
Metadata
- Authors
- Mine, S., Sano, T., Tsutsumi, K., Murakami, Y., Ehara, K., Saka, M., Hara, K., Fukagawa, T., Udagawa, H., & Katai, H.
- Affiliations
- The Cancer Institute Hospital (JP)
- Toranomon Hospital (JP)
- Shiga University of Medical Science (JP)
- National Cancer Center Hospital (JP)
- The University of Tokyo (JP)
- Corresponding author
- Mine, Shinji
- ORCID
- Venue
- Journal of the American College of Surgeons
- Published
- 2010-11
- Volume
- 211
- Issue
- 5
- Pages
- 628-636
- ISSN
- 1072-7515 (ISSN-L)
- OpenAlex
- W2077139301
- Cited by
- 106
- References
- 19
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 6 · 2021: 7 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 8 · 2015: 11 · 2014: 5 · 2013: 3 · 2012: 4
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- green
- pure.teikyo.jp
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of the American College of Surgeons (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Oncology › Gastric Cancer Management and Outcomes
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- dumping syndrome, gastric cancer, gastrectomy, early dumping syndrome, late dumping syndrome, pylorus-preserving gastrectomy, distal gastrectomy, Billroth I reconstruction, proximal gastrectomy, weight loss, risk factors
- MeSH terms
- Dumping Syndrome, Female, Follow-Up Studies, Gastrectomy, Humans, Male, Middle Aged, Pain Measurement, Population Surveillance, Surveys and Questionnaires, Stomach Neoplasms, Reproducibility of Results, Causality, Incidence, Logistic Models, Disease-Free Survival
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