A Physiological Approach to the Surgical Treatment of the Dumping Syndrome

Edward A. Stemmer, MD; James M. Guernsey, MD; Ronald E. Heber; John E. Connolly, MD
JAMA. 1967;199(12):909-913. doi:10.1001/jama.1967.03120120097017.
Text Size: A A A
Published online

One of the most perplexing complications of otherwise successful gastric surgery is the development of a complex of gastrointestinal and vasomotor symptoms commonly referred to as the dumping syndrome. Although not fatal, the severity of symptoms may be so great that the patient cannot lead a normal life and in some instances may be unable to continue his usual occupation. The reported incidence of the dumping syndrome following gastrectomy ranges as high as 70% or 80% in various series but is ordinarily significant in only 5% to 12% of patients. The voluminous work on the subject since its first description by Denechau in 1907 attests to its importance and the difficulty of adequate explanation of the symptom complex.

Attempts to treat such patients are frustrating for the physician and discouraging to the patient who sometimes thinks that he has traded a benign disease with a specific treatment for a disabling


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.