v Dumping Syndrome
Postprandial problem occurs after gastric resection because ingested food rapidly enters the jejunum without proper mixing and without the normal duodenal digestive processing
- Often after Billroth II but usually relieved after few months
- Early clinical manifestations: occurs 5-30 minutes after eating
- vertigo, tachycardia, syncope,
- sweating, pallor, palpitation,
Diarrhea, nausea.
- Late Manifestations: occurs 2-3 hours after eating
- epigastric fullness, distention, discomfort, and abdominal cramping.
- Nursing Management
- high protein, high fat, low carbohydrate, dry diet
- eating in a recumbent or semi-recumbent position
- lying down after meals
- don’t take large fluids with meals.
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