YARON NIV, M.D.
To the editor: The known therapy for the early dumping syndrome (small frequent meals, carbohydrate restriction, prevention of drinking while eating , addition of pectin to the food , pancreatic enzymes, and surgery ) is disappointing. Because most of the clinical phenomena are of autonomic character, we tried propranolol therapy.
A 62-year-old man was hospitalized 9-years after vagotomy, antrectomy, and gastrojejunostomy. He had attacks of flush, dizziness, fatigue, palpitation, and tachycardia 30 minutes after meals. The results of physical examination, glucose tolerance, and routine laboratory tests were normal. Upper gastrointestinal roentgenogram showed a gastric stump of 15 cm, emptying very
NIV Y. The Early Dumping Syndrome and Propranolol. Ann Intern Med. ;108:910–911. doi: 10.7326/0003-4819-108-6-910_2
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Published: Ann Intern Med. 1988;108(6):910-911.
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