BACKGROUND In patients with late dumping syndrome following gastrectomy, it has been reported that hypoglycemia occurs due to inhibition of glucagon secretion as a result of excessive insulin production facilitated by an increase in glucagon-like peptide-1 (GLP-1). METHODS To determine the kinetics of incretins in Japanese patients with late dumping syndrome, an oral glucose tolerance test wa...

BACKGROUND Nissen Fundoplication is a common surgical procedure performed in treating gastroesophageal reflux disease (GERD). Complications include dysphagia, gastric hypersensitivity, abnormal gastric motility, gas bloat syndrome and GERD relapse. Dumping syndrome may occur when a large volume of gastric content is delivered to the duodenum or jejunum, resulting in both gastrointestinal and va...

Bariatric surgery is most commonly carried out in women of childbearing age. Whilst fertility rates are improved, pregnancy following bariatric surgery poses several challenges. Whilst rates of many adverse maternal and foetal outcomes in obese women are reduced after bariatric surgery, pregnancy is best avoided for 12-24 months to reduce the potential risk of intrauterine growth retardation. D...

BACKGROUND Lesser omental transection during gastric bypass for morbid obesity may be associated with postoperative dumping. A survey of postoperative symptoms was performed in patients undergoing laparoscopic Roux-en-Y gastric bypass with transection vs. preservation of the lesser omentum. METHODS A written questionnaire on dumping symptoms was administered to patients 2 years after laparosc...

to describe the postprandial symptom-complex seen in patients after gastric surgery. The symptoms are of gastro-intestinal and vasomotor origin with variable predominance. They develop within 30 minutes of eating and are particularly severe after the ingestion of carbohydrates. Therapy has largely been limited to dietary and fluid restrictions and postprandial recumbency. The reported incidence...

Frame and anti-frame rules have been proposed as proof rules for modular reasoning about programs. Frame rules allow one to hide irrelevant parts of the state during verification, whereas the anti-frame rule allows one to hide local state from the context. We discuss the semantic foundations of frame and anti-frame rules, and present the first sound model for Charguéraud and Pottier’s type and ...