Late dumping syndrome in an infant on feeding jejunostomy. Issue 5 (21st May 2019)

• Record Type: Journal Article
• Authors: Jain, Agam; Gupta, Aditya Kumar; Jat, Kana Ram; Kabra, Sushil Kumar
• Is Part Of: BMJ case reports. Volume 12:Issue 5(2019)
• Publication Date: 2019-05-21
• Subjects: childhood nutrition (paediatrics) -- infant health; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-228471
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : This article presents the case of a 3-month-old male child, who while on bolus jejunostomy tube feeds, developed recurrent episodes of hypoglycaemia. This infant had presented with failure to thrive with moderate gastroesophageal reflux necessitating a feeding jejunostomy. The infant was started on bolus feeds through the jejunostomy tube but developed recurrent episodes of hypoglycaemia. On evaluation, these episodes were hyperinsulinaemic and the baby was subsequently diagnosed with a late dumping syndrome. On changing the feeds to a continuous infusion and by eliminating added sugar from the feeds, the glucose fluctuations resolved. Dumping syndrome is a well-known complication in adults undergoing gastric surgeries. In the paediatric age group, dumping syndrome has been reported rarely, most commonly as a complication of Nissen fundoplication.