<prompt> which of the following is apt in the management of dumping syndrome ?injection octreotide is D.O.Cbulky meals are takenoily foods are avoidedcan drink water with food  <response>: Dumping Syndrome TWO TYPES: Attacks last about 30 minutes 1. Early dumping --immediately after a meal -associated with hypovolemia Fluid in blood and hypotension -caused by hyperosmotic chyme entering duodenum -rapidly extracts large amounts of fluid from circulation into intestine 2. Late dumping---approx. 2 h after a meal -due to hypoglycemia--chyme dumped into intestine results in rapid absorption of glucose into blood - sudden blood hyperglycemia -rapid increase in insulin that overcorrects and results in hypoglycemia --Symptoms: weakness, dizziness and sweating after meals TREATMENT OF DUMPING SYNDROMES SAME FOR BOTH EARLY LATE DIETARY MANIPULATION SMALL DRY MEALS,AVOID FLUIDS WITH HIGH CARBOHYDRATE CONTENT SOMASTATIN ANALOGUE OCTREOTIDE BEFORE MEALS REVISIONAL SURGERY GJ - DRAINAGE IS TAKEN DOWN PYLOROPLASTY - REPAIRGASTRECTOMY - ANTRERCTOMYROUX-EN-Y RECONSTRUCTION ref : bailey and love 27th ed 