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Gastroenterology  (Expert Forum)
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Bilroth Complications
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Bilroth Complications

by Steve-Zitnick, Jun 10, 1998 12:00AM

  In 1979, I had a Bilroth I ( I believe, resectioning stomach and cutting vagas nerve). Following the surgery and since that time, I have had "dumping symptoms" when I have ingested sugar in my diet. In the last year or so, these have become more severe and have been triggered by relatively little amounts of sugar. For example, 2 tablespoons of a salad dressing. In the past, I have experienced cramps and diarrehea, occasionally vomiting. Now ,the vomiting is severe and continues for several hours after onset. The urge continues even after all stomach contents are gone.
  A second part of my question concerns high triglycerides levels that show up in my annual physicals. I drink alchohol only occasionally and moderately and my Cholesterol is normal range ( 190-200) for 55 year old man. My weight is 5-7 pounds above "new" weigth standards. I am in excellent overall health and exercise regularly. My question is can the level of the triglycerides be linked to my surgery and complications?
________________
Dear Steve Zitnick.
Abdominal pain, nausea, diarrhea, weakness, fatigue can be symptoms of dumping syndrome.  Vomiting, however, is usually not a dominant complaint.  It is necessary to investigate other causes for your vomiting.  You should have an upper endoscopy to exclude mechanical obstruction.  If the endoscopy is normal, a gastric emptying study is needed.  If both tests are normal other causes of the vomiting must be considered.
I do not think that your high triglycerides is related to your surgery and dumpimng syndrome.
This information is presented for educational purposes only.  Always consult your physician for specific medical problems.
If you want, we would be happy to see you in the Division of Gastroenterology at Henry Ford Hospital and perform the appropriate investigations after we have had the chance to meet you and to review your history in greater detail. You can arrange an appointment with Dr. Fogel, one of our experts in the diagnosis and treatment of gastrointestinal disease by calling the Henry Ford Physician Referral Line at (800)653-6568.
HFHSM.D.-rf
*keywords: ulcer surgery, dumping syndrome
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