PECTIN IN THE DUMPING SYNDROME: REDUCTION OF SYMPTOMS AND PLASMA VOLUME CHANGES

LEEDS, A

doi:10.1016/s0140-6736(81)92242-x

Cited by 100Gastrointestinal motility and disordersEnhanced Recovery After SurgeryBariatric Surgery and Outcomes

PECTIN IN THE DUMPING SYNDROME: REDUCTION OF SYMPTOMS AND PLASMA VOLUME CHANGES

LEEDS, A·1981·The Lancet

DOI 10.1016/s0140-6736(81)92242-x

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Abstract

Twelve patients with the dumping syndrome took on one occasion oral hypertonic glucose and on another a similar glucose drink to which pectin was added. After glucose alone eleven patients had symptoms; after glucose with pectin, six had no symptoms and in five symptoms were reduced. Plasma volume changes were significantly less after glucose with pectin, and the hypoglycaemia at 120 min after glucose alone did not occur after glucose with pectin in patients in whom symptoms were abolished. Gastric emptying was prolonged, and serum insulin levels were lower, after glucose with pectin. In those patients to whom gastric emptying rate reverted to near normal with pectin, symptoms were abolished, but symptoms were only reduced in number when gastric emptying, although slowed, remained rapid. The findings suggest that pectin and similar substances may be useful in the day-to-day management of patients with dumping symptoms.

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A number of short-term studies involving the ingestion of up to 15 g of guar gum or pectin with each meal have demonstrated the efficacy of these dietary supplements in slowing gastric emptying, reducing GI hormone release, improving hyperglycemia and controlling dumping symptoms.
“A number of short-term studies involving the ingestion of up to 15 g of guar gum or pectin with each meal have demonstrated the efficacy of these dietary supplements in slowing gastric emptying, reducing GI hormone release, improving hyperglycemia and controlling dumping symptoms (Table 2) (48)(49)(50)(51)(52)(53)(54)(55)(56)(57).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [50]

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Pectins as Biological Modulators of Human Physiological Reactions
Popov, S. (2016) · doi:10.1016/j.als.2016.12.036

Authors: LEEDS, A.
Affiliations: University of London (GB)
Corresponding author: LEEDS, A
Venue: The Lancet
Publisher: Elsevier BV
Published: 1981-05
Volume: 317
Issue: 8229
Pages: 1075-1078
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(81)92242-x
OpenAlex: W2069395463
Cited by: 100
References: 8
Citations by year: 2025: 1 · 2024: 2 · 2023: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2016: 3 · 2015: 3 · 2014: 1
FWCI: 9.24
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Keywords: dumping syndrome, pectin, hypertonic glucose, gastric emptying, plasma volume, hypoglycemia, serum insulin, postprandial symptoms
MeSH terms: Adult, Dumping Syndrome, Female, Gastric Emptying, Humans, Hypoglycemia, Insulin, Male, Middle Aged, Pectins, Plasma Volume

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PECTIN IN THE DUMPING SYNDROME: REDUCTION OF SYMPTOMS AND PLASMA VOLUME CHANGES

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