Question:
Is dumping consistant with a specific type of WLS ?

My physician assistant said that since I had a distal RNY that I wouldn't have dumping. For some reason I didn't ask why and now I want to know. Any information out there?    — sissie S. (posted on August 30, 2003)

August 30, 2003
If you had a true RNY of any length bypassed then you have the possibility of dumping. It happens because the sugar and fat no longer goes through our stomach and is broken down before hitting the small intestine. Now if he is doing something like a DS and calling it an RNY then it would make sense. The DS still has normal stomach function. Also what did she mean by distal. Although the dumping has nothing to do with whether you have a 75, 100, 150 or even longer bypass. It's strictly the fact the the stomach is out of the picture after an RNY.
   — zoedogcbr

August 30, 2003
I don't know if this helps at all, but I'm proximal and don't dump.
   — ladyphy

August 30, 2003
I had a RNY, with a 2 cc pouch and my stomach was not cut away, just separated by the staples, it's distal because I have 40 inches of small intestine left.
   — sissie S.

August 30, 2003
I am a VERY Proxiaml and dump on both small amounts of sugar and larger amounts of carbs.
   — Barbara C.

August 30, 2003
Dumpng happens in they say 30-40% of the patients, distal or proximal, i don't think it matters much. I have heard that DS patients don't dump, but RNY's do.
   — heathercross

August 30, 2003
All RNY's whether distal or proximal are subject to dumping syndrome. Not all do but it is a side effect (or benefit) or RNY. I am what my surgeon refers to as a short distal (150 cm bypassed) and I dump very easily on sugar and on some natural sweets - like too much tomato. I don't dump on fats but some people do - others don't dump at all.
   — Patty_Butler

August 30, 2003
Yes. Dumping syndrome part of any surgery that involves bypassing the lower part of the stomach. The pyloric valve sits in the lower part of the stomach and regulates the rate at which food and sugars can enter the intestine. When this is bypassed, the sugars are free to dump straight into the intestine. Of course, your body then freaks out because a sugar charge just hit the intestines. It reactes by giving you a big shot of insulin, which causes the sweating / heart palpatation / shakey / feverish aspects of dumping. THEN it sends tons of water to the intestine to "move things out". The net result of which is that you could be spending some quality time in the "reading room".
   — Greg P.

August 31, 2003
It seems alot of it is individual. My surgeon said sometimes it depends on how much of the intestine is bypassed (which can determine how sensitive you are). I typically do not dump. I can eat pretty much anything (even candy) in very small amounts. Now, if I eat too much of it, yes I will dump, but I don't think I am very sensitive to it. The only thing that has ever made me "dump" really is ice cream.
   — emilyfink