A Case Report of Roux-operation for Postgastrectomy Dumping Syndrome

Toru Yoshida, Katsunori Tauchi, Yasunori Tsuchiya, Shinichirou Hirokawa, Takashi Sakamoto and Kazuhiro Tsukada

Second Department of Surgery, Toyama Medical and Pharmaceutical University

A 57 year-old man, who had undergone distal partial gastrectomy and Billroth I reconstruction 37 years ago, had been suffering from postprandial sweating, palpitation, headache. Although several medications had been administered for the symptoms, they were ineffective. Additional medications also proved to be unsatisfactory. Therefore, a Roux-operation was performed. The symptoms disappeared after operation and radiographic upper GI series and scintigraphy findings improved. Also the 75g OGTT showed that an elevation of serous serotonin had decreased after operation. No recurrence of the dumping syndrome has been observed 2-years postoperation. Therefore this operation should be considered as therapy for dumping syndrome that is resistant to all medications.

Key words
dumping syndrome, Roux-operation

Reprint requests
Toru Yoshida The Second Department of Surgery, Toyama Medical and Pharmaceutical University 2630 Sugitani, Toyama, 930-0194 JAPAN

Accepted
February 23, 2000

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