Evidence map›Paper›PMID 40974522›Full record

ArticleObesity surgery2025

Prevalence and Risk Factors of Early Dumping Syndrome and Postprandial Hypoglycemia after Sleeve Gastrectomy: A Long-Term Follow-up Study.

Ying Liu, Wen Zhang, Jiali Qian, Chuxin Huang, Qiyuan Yao, Wanwan Sun, Qiwei Shen, Yehong Yang

Abstract read
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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ying LiuDepartment of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China.
Wen ZhangCenter for Obesity and Metabolic Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Jiali QianDepartment of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China.
Chuxin HuangDepartment of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China.
Qiyuan YaoCenter for Obesity and Metabolic Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Wanwan SunDepartment of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China. sww19880325sww@sina.com.
Qiwei ShenCenter for Obesity and Metabolic Surgery, Huashan Hospital, Fudan University, Shanghai, China. shenqiwei@huashan.org.cn.
Yehong YangDepartment of Endocrinology, Huashan Hospital, Fudan University, Shanghai, China. yehongyang@fudan.edu.cn.

Funding

National Natural Science Foundation of China 81970711National Natural Science Foundation of China No.82300954
6 · The paper itself

Abstract

backgroundEarly dumping syndrome and postprandial hypoglycemia are common complications following sleeve gastrectomy. However, long-term studies are scarce.

methodsWe evaluated 122 sleeve gastrectomy patients who underwent surgery between December 2011 and May 2018. Symptoms were assessed using the Dumping Symptom Rating Scale and Edinburgh Hypoglycemia Scoring System questionnaire. Symptom severity was categorized as mild, moderate, or severe based on predefined scoring criteria. The median follow-up time was ~ 7 years.

resultsOf 97 patients (79.5% follow-up rate), 59.8% reported early dumping symptoms and 64.9% had postprandial hypoglycemia at ~ 7 years post-surgery. At 1.1-year follow-up these rates were 41.0% and 66.4%, respectively, indicating an increase in dumping symptoms over time while hypoglycemia rates remained similar. Most symptoms were mild; no severe cases were observed. Over half (55.7%) of patients had both conditions. Higher baseline C-peptide (upper tertile > 3.24 ng/mL) was associated with significantly lower odds of both complications compared to the lowest tertile.

conclusionEarly dumping syndrome symptoms may increase over time after sleeve gastrectomy, while hypoglycemia persists; higher C-peptide levels might be protective.

Indexed as

Dumping SyndromeGastrectomyHypoglycemiaObesity, MorbidPostoperative ComplicationsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPostprandial PeriodPrevalenceRisk FactorsEarly dumping syndromePostprandial hypoglycemiaPrevalenceRisk factorsSleeve gastrectomy

Identifiers

PMID40974522

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.