{"id":16072,"date":"2020-08-04T14:49:56","date_gmt":"2020-08-04T13:49:56","guid":{"rendered":"http:\/\/opa.org.uk\/?p=16072"},"modified":"2021-01-22T14:51:11","modified_gmt":"2021-01-22T14:51:11","slug":"dumping-syndrome-after-upper-gi-surgery","status":"publish","type":"post","link":"https:\/\/opa-old.voidappsdev.uk\/?p=16072","title":{"rendered":"Dumping Syndrome after Upper GI Surgery"},"content":{"rendered":"<p>Some patients suffer from \u2018dumping syndrome\u2019 after their surgery. It is one of the effects of having a shorter digestive tract. The food rushes through the system more quickly than it should. The Vagus nerve, that normally controls the speed of the digestion, will often have been cut because of the surgery, and for some patients it takes months for the body to re-train itself to cope with the new system.<\/p>\n<p><strong>Dumping Issues<\/strong><\/p>\n<p>a) Early dumping is within 30 minutes of eating. Carbohydrates enter the digestive tract quickly and disturb the osmotic balance (concentrations) causing dizziness, faintness, palpitations, low blood pressure, cramping and diarrhoea. Resting immediately after eating may help.<\/p>\n<p>b) Late dumping normally occurs 2-3 hours after eating or if a meal is missed. It is primarily caused by poorly timed insulin release for the amount of food entering the digestive system and results in feeling faint or sick and shaky. Consuming sugary food may help.<\/p>\n<p><strong>Recommendations for dumping<\/strong><\/p>\n<ul>\n<li>Avoid refined carbohydrates, chose lower glycaemic index foods<\/li>\n<li>Include starchy foods as part of meals<\/li>\n<li>Small, frequent &amp; regular meals and snacks<\/li>\n<li>Chew well: eat slowly<\/li>\n<li>Keep liquids separate for meals<\/li>\n<li>Dry foods may help<\/li>\n<li>Loperamide (Imodium) and Creon may help<\/li>\n<\/ul>\n<p>Should we be eating Low Glycaemic Index Foods to minimise dumping?<\/p>\n<p>Not all carbohydrate foods behave the same way in our bodies, and the Glycaemic Index rates of foods according to how much they affect our blood-glucose levels. So this can become very relevant if you suffer from dumping syndrome or diabetes. Ask your specialist dietician for advice about whether concentrating on low glycaemic index goods might be better for you.<\/p>\n<p>The following table summarises the Glycaemic Index for some common groups of food.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Drinks<\/td>\n<td>Sugar-free drinks<\/td>\n<td>Sports drinks<br \/>\nFanta<br \/>\nCola<\/td>\n<td>Lucozade<br \/>\nGlucose drinks<\/td>\n<\/tr>\n<tr>\n<td>Cereals<\/td>\n<td>All Bran<br \/>\nMuesli<br \/>\nPorridge<br \/>\nSpecial K<br \/>\nSultana Bran<br \/>\nFruit &amp; Fibre &#8211; type<br \/>\nOat and Wheat Flakes<\/td>\n<td>Shreddies<br \/>\nSustain<br \/>\nGrapenuts<br \/>\nCheerios<br \/>\nBranbuds<\/td>\n<td>Cornflakes<br \/>\nCocopops<br \/>\nRice Krispies<br \/>\nWeetabix<br \/>\nPuffed Rice<br \/>\nPuffed Wheat<br \/>\nShredded Wheat<\/td>\n<\/tr>\n<tr>\n<td>Bread, Biscuits<br \/>\n&amp; Cake<\/td>\n<td>Heavy grain bread<br \/>\ne.g. Granary\/multigrain<br \/>\nPitta Bread<br \/>\nRye Bread<br \/>\nChapatis<br \/>\nFruit loaf<br \/>\nSponge cake*<br \/>\nBanana cake*<\/td>\n<td>Fibre enriched white bread<br \/>\nRyvita<br \/>\nOat meal biscuits<br \/>\nShortbread*<br \/>\nMuesli bar*\/flapjack*<br \/>\nCroissant*<br \/>\nMuffin<br \/>\nDigestive biscuits<\/td>\n<td>Brown<br \/>\nWholemeal\/White<br \/>\nFrench stick<br \/>\nBagels<br \/>\nCrumpets<br \/>\nMorning coffee biscuits<br \/>\nWater biscuits<br \/>\nPuffed crispbreads<br \/>\nRice cakes<\/td>\n<\/tr>\n<tr>\n<td>Potatoes, Rice<br \/>\n&amp; Pasta<\/td>\n<td>Yam<br \/>\nSweet Potatoes<br \/>\nBasmati Rice<br \/>\nNoodles<br \/>\nPasta &#8211; most types<\/td>\n<td>New potatoes<br \/>\nBoiled potatoes<br \/>\nMacaroni<\/td>\n<td>Instant potato<br \/>\nMashed potato<br \/>\nJacket potato<br \/>\nChips*<br \/>\nInstant rice<br \/>\nBrown rice<br \/>\nWhite rice<\/td>\n<\/tr>\n<tr>\n<td>Fruit &amp;<br \/>\nVegetables<\/td>\n<td>Apple, dried apricots, banana,<br \/>\ncherries, Cantaloupe melon,<br \/>\ngrapefruit, grapes, kiwi, mango,<br \/>\norange, peach (canned and fresh),<br \/>\npear, plum, fruit cocktail.<br \/>\nApple Juice, grapefruit juice,<br \/>\npineapple juice (small glass).<br \/>\nCarrots, peas, sweetcorn<\/td>\n<td>Apricots (canned)<br \/>\nPineapple<br \/>\nPapaya<br \/>\nSquash<br \/>\nSultanas and raisins<\/td>\n<td>Parsnips<br \/>\nPumpkin<br \/>\nSwede<br \/>\nBroad Beans<br \/>\nWatermelon<\/td>\n<\/tr>\n<tr>\n<td>Legumes\/Grains<\/td>\n<td>Baked beans, butter beans, black<br \/>\neyed beans, chick peas, haricot<br \/>\nbeans, kidney beans, lentils, soya<br \/>\nbeans.<br \/>\nPearl barley, buckwheat, bulgar<br \/>\nwheat.<\/td>\n<td>Couscous<br \/>\nCornmeal<br \/>\nMillet<\/td>\n<td>Tapioca<\/td>\n<\/tr>\n<tr>\n<td>Snacks<\/td>\n<td>Most chocolate*<br \/>\nPopcorn*<br \/>\nCrisps*<br \/>\nPeanuts*<\/td>\n<td>Some chocolate bars*<br \/>\ne.g. Mars bars<br \/>\nTaco Shells<\/td>\n<td>Jelly babies<br \/>\nJelly beans<br \/>\nCorn chips<\/td>\n<\/tr>\n<tr>\n<td>Sugars<\/td>\n<td>Fructose<br \/>\nLactose<\/td>\n<td>Honey<br \/>\nSucrose<\/td>\n<td>Glucose<\/td>\n<\/tr>\n<tr>\n<td>Dairy<\/td>\n<td>Low fat ice-cream<br \/>\nMilk<br \/>\nYoghurt<\/td>\n<td>Full-fat ice-cream*<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*\u00a0Foods containing relatively high amounts of fat &#8211; keep these to a minimum<\/p>\n<p>\u00a9 The Oesophageal Patients Association<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Some patients suffer from \u2018dumping syndrome\u2019 after their surgery. It is one of the effects of having a shorter digestive tract&#8230;<\/p>\n","protected":false},"author":4,"featured_media":15940,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-16072","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorised"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dumping Syndrome after Upper GI Surgery - The OPA<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dumping Syndrome after Upper GI Surgery - The OPA\" \/>\n<meta property=\"og:description\" content=\"Some patients suffer from \u2018dumping syndrome\u2019 after their surgery. 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