Q:

All are true about the dumping syndrome except:

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All are true about the dumping syndrome except:


  1. Symptoms can be controlled with a somatostatin analog.
  2. Diarrhea is always part of the dumping syndrome.
  3. Flushing and tachycardia are common features of the syndrome
  4. Separating solids and liquids in the patient\'s oral intake alleviates some of the symptoms of the syndrome.
  5. Early postoperative dumping after vagotomy often resolves spontaneously.

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B. Diarrhea is always part of the dumping syndrome.

DISCUSSION: The somatostatin analog octreotide has been used to control the dumping syndrome and is currently the only known medical therapy for this disease. Other therapies include dietary measures such as six small meals a day and separation of solids and liquids. Postvagotomy diarrhea is a secondary complication of vagotomy and is not strictly associated with the dumping syndrome itself. The vast majority of patients with dumping syndrome experience spontaneous resolution of their symptoms without intervention in the postoperative period.

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