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Glucose Tolerance Tests And the Dumping Syndrome

Leonard H. Flax, MD
JAMA. 1966;196(8):741. doi:10.1001/jama.1966.03100210111040.
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To the Editor:—  I have read with interest the comments of Hans N. Naumann, MD, concerning the hazards of a glucose tolerance test in a patient with the dumping syndrome (195:700, 1966). To emphasize the clinical importance of Dr. Naumann's comments, I would like to present the exact clinical problems in a patient with a dumping syndrome undergoing a glucose tolerance test.In early January 1966, a 38year-old Ukranian man who was employed in a local sugar refinery presented with postprandial sweating, flushes, and epigastric and precordial palpitations plus an intermittent, explosive type of diarrhea. These episodes would start 15 to 20 minutes after meals and would last up to an hour or slightly more. Most of these postprandial, supposedly vasomotor, complaints would subside. A sense of persistent dizziness did not. In March 1959 he had undergone an isoperistaltic anticolic Hofmeister Finster gastrectomy. This procedure had been carried out


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