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merpaperple
It's not necessarily late dumping syndrome, this is the dietary guideline for early dumping syndrome too. Based on UpToDate and ScienceDirect this is how it works:
Absent or dysfunctional pyloric sphincter
-> food is rapidly emptied from the stomach into the small bowel
-> hypertonic solution forms in the jejunum
-> rapid fluid shifts from the plasma into the bowel
-> hypotension and SNS response (eg. colicky abdominal pain, diarrhea, nausea, tachycardia)
Simple carbohydrates are more hypertonic, I think.
https://www.sciencedirect.com/topics/medicine-and-dentistry/dumping-syndrome
+5
j44n
starches are complex carbs= more than 2-3 sugar molecules, if they have dumping syndrome they have decreased gastric transit time= more undigested carbs are delivered to the intestines and that gives you more carbs for bacteria to break down (flatulence and osmotic diarrhea)
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hello
Yep, seems that because the patient has prediabetes, he should avoid eating excessive starchy foods.
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breis
I put nuts thinking of "fats" and that with a bariatric surgery they may have problems with absorption..
+6
teetime
This isn't right because the bariatric surgery will cure the prediabetes. It's dumping.
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dr_jan_itor
Why should he avoid eating excessive starchy foods? To avoid gaining weight? It doesn't matter what macronutrients he eats if they are calorie controlled.
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dhkahat
yeah but he's prediabetic. you want someone like that to shove a bunch of starch down all the time?
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brise
"Starches such as fried potatoes, rice and pasta may make you feel bloated or gassy and may not be well tolerated."
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bgreen27
I was thinking the same thing!
I was thinking the same thing!
RYBG (a type of gastric bypass) can cause small intestinal bacterial overgrowth (SIBO) increased growth in the blind pouch segment.ย SIBO results in deficiency of most vitamins (B12, A, D, and E) and iron, BUT increased production of folic acid and vitamin K. -Uworld
+1
bfinard1
Any idea why this isnt the case?
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submitted by โthepacksurvives(21)
I think this one has to do with "late dumping syndrome"-- basically, starchy foods cause hyperglycemia --> release of insulin --> catecholamine surge --> diarrhea, etc.