Here ya go...a brand new study on Sleeve gastric emptying.....aka dumping, some develop it early and some develop it years out.


Sorry, I am not spreading misinformation about the Sleeve, I have no reason to do that, that is done a lot about the lap band though. I make sure I thoroughly research a surgery and its side effects before making a life altering decision, you need to do the same thing and not base your research on what people say on the Internet.

Also many people do not know or realize they dump with the Sleeve, some just think they can no longer eat some carbs, fats and sweets unless they get sick, some people do not even know what they are getting into until after they've removed their stomach. If anyone wants to learn more about DUMING with the VSG, they can just go the Search box at the top of the forum and TYPE IN VSG and DUMPING and they will get several posting of people complaining about dumping on the VSG forum.

Here is recent studies indicating Dumping aka gastric emptying with Sleeve patients.

What is rapid gastric emptying?

Rapid gastric emptying, also called dumping syndrome, occurs when undigested food empties too quickly into the small intestine.

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What are the symptoms of rapid gastric emptying?

Early rapid gastric emptying begins either during or right after a meal. Symptoms include nausea, vomiting, bloating, cramping, diarrhea, dizziness, and fatigue. Late rapid gastric emptying occurs 1 to 3 hours after eating. Symptoms include hypoglycemia, also called low blood sugar; weakness; sweating; and dizziness. Experiencing both forms of gastric emptying is not uncommon.

New Study and FINDINGS ON DUMPING AKA...GASTRIC EMPTING WITH THE SLEEVE AS OF January 10, 2012

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COMPARISON STUDY OF GASTRIC EMPTYING AFTER PERFORMING SLEEVE GASTRECTOMY WITH TWO DIFFIERENT TECHNIQUES

Posted on January 10, 2012

Saed A Jaber, MD, Basma M Fallatah, MD, Abdel- Aziz Shehry, MD, Mahmoud Abdelmoeti, MD. King Fahd Medical Military complex

BACKGROUND: Sleeve gastrectomy (SG) has been became a primary surgical treatment for obesity. This operation could be associated with motor gastric dysfunction and abnormal gastric emptying. The purpose of this prospective study is to present a comparison study of gastric emptying to solids after performing sleeve gastrectomy with two different techniques using scintigraphy. METHODS: Prospectively; twenty morbidly obese patients were submitted for laparoscopic SG. After excluding patients with gastro-esophageal reflux disease and diabetes mellitus for the sake of avoiding having a preoperative gastric emptying, patients were divided into two groups. One group (3 males, 7 females) had sleeve gastrectomy started 7 cm from the pylorus and then vertical gastrectomy a long a 40 french size tube and the other group (3 males, 7 females ) has the sleeve started at 4 cm from the pylorus and then vertical gastrectomy a long a 40 french size gastric tube . Gastric emptying of solids was measured by scintigraphic technique. RESULTS: At 4 cm from the pylorus: Nine of ten patients had delayed gastric emptying with t1/2 >50 min (55-133 min).Mean BMI decreased from 42.1Kg/m2 to 36Kg/m2. All female patients were complaining from significant nausea and vomiting postoperatively that persisted for 6 months. At 7 cm from pylorus: Ten patients had rapid gastric emptying with t1/2<30 min(17-29 min) . BMI decreased from 42.1Kgm2 to 37.1Kg/m2. From these cases one female patient developed nausea in a chronic manner. Conclusion: Gastric emptying after SG is variable according to point of starting sleeve gastrectomy from the pylorus. At 4 cm it is associated with delayed emptying and at 7 cm it is associated with accelerated emptying for solids in the majority of patients. These results could be in consideration to select the appropriate technique according to gender and preoperative foregut condition.

From WBMD...about the Sleeve and Dumping

Gastric Sleeve Surgery

Restrictive operations like gastric sleeve surgery make the stomach smaller and help people lose weight. With a smaller stomach, you will feel full a lot quicker than you are used to. This means that you will need to make big lifelong changes in how you eat-including smaller portion sizes and different foods-in order to lose weight.

This surgery can be done by making a large incision in the abdomen (an open procedure) or by making several small incisions and using small instruments and a camera to guide the surgery (laparoscopic approach). More than half of yourstomach is removed, leaving a thin vertical sleeve, or tube, that is about the size of a banana. Surgical staples keep your new stomach closed. Because part of your stomach has been removed, this is not reversible

Sometimes this surgery is part of a larger approach to weight loss done in several steps. If you need to lose a lot of weight before you have duodenal switch surgery, gastric sleeve surgery may help you.

What To Expect After Surgery

You will have some belly pain and may need pain medicine for the first week or so after surgery. The cut that the doctor makes (incision) may be tender and sore. Because the surgery makes your stomach smaller, you will get full more quickly when you eat. Food also may empty into the small intestine too quickly. This is called dumping syndrome. It can cause diarrhea and make you feel faint, shaky, and nauseated. It also can make it hard for your body to get enough nutrition.

Sleeve not sliced bread for those with IBS, certain medications, blown metabolism or Binge Eating Disorder. My surgery was excellent, I was virtually by the book for three years. My weight loss stopped cold at 1 year, was supposed to have 2nd yr. Have been Dr monitored every three months, my labs are excellent, but no more loss and I am at 1100 cals! Tried conservative maintenance, and began to gain, I would do the RnY in a heartbeat. DS can be very unpleasant, especially for those like me, who have IBS!

"Dumping" with the sleeve is not severe for those who experience it.  It is very easy to avoid by not eating sugary fatty foods to excess.  It is actually a very good deterrent to eating crap.

I can control that reaction with the sleeve.  I couldn't control the damage and pain that I had with the band.

Even some people who have never had surgery have had "dumping" episodes. But the more research that comes out, it does appear to link reactive hypoglycemia to the lack of a pyloric valve. I'm fortunate, have rarely had it be an issue but it's a crap shoot as to who will get it and who won't.

I have a few friends that had RNY and never dumped, their lives are great, but as you say it is crap shoot, lap banders DO NOT get dumping syndrome, but people who;ve never had weight loss surgery can get hypoglycemia I think it is similar to a complication of diabetes.

This seems to be MORE COMMON than people report with the Sleeve and MANY are not happy that they dump since it was not clear to them this could happen with a restrictive only surgery.

yep, that's why we all pick the surgery that has the potential consequences we think we can live with. I hate going to the doctor. The fill appointments would have driven me crazy with a band and I need the malabsorption.  I knew I'd get to a point where I'd need to watch what I eat and I'm there. no surprises

have a good one NanaB

I had "dumping" episodes for years and years after gallbladder removal. I'd eat something that wasn't easily digestible and get all woozy and icky.  "Explosive diarrhea! Outta my waaaay!" 

only you can make explosive diarrhea sound entertaining, you goof!

It IS entertaining! As long as it's happening to someone else! 

Statistically, pproximately 16% of those with the sleeve experience reactive hypoglycemia based on studies actually done on the subect.  It is some but not most VSG patients. 

Having a blind stomach post stapling vs. stomach removed are two entirely different animals. Removal of the cells that produce the hormone Ghrelin, for example.  That blind stomach can still ulcerate, as well. 

Gastrectomy is a common operation -- far more common than most people realize - for conditions like ulcers and stomach cancer. I've run into a number of folks since my VSG who have partial stomachs.  There was an interesting article on Salon.com last year by a foodie who devleoped stomach cancer and had her stomach removed entirely. Her small intestines were basically attached to her esophagus. 

The only food intolerance I have is poultry.  Things like wings tend to be too dry for me.