Dumping syndrome is a serious complication that may occur after gastric surgery in approximately 10% of patients in the 1990s. With the increasing number of patients undergoing
bariatric surgery, the incidence of
dumping syndrome is likely to increase in recent years. It is necessary for clinicians to recognize the syndrome and master its management. We present a case of recurrent
loss of consciousness, which was finally accurately diagnosed as late
dumping syndrome twelve years after subtotal
gastrectomy and successfully treated with
acarbose. A 66-year old lean male was found unconscious repeatedly within one year, oral
glucose tolerance tests performed before and after
acarbose treatment verified the diagnosis of late
dumping syndrome. Hypoglycaemia can damage the body in acute and chronic form.
Acarbose can be used as a successful treatment modality for reactive hypoglycaemia due to late
dumping syndrome by influencing the release of
hormone.