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CASE REPORT
Late dumping syndrome in an infant on feeding jejunostomy
  1. Agam Jain,
  2. Aditya Kumar Gupta,
  3. Kana Ram Jat and
  4. Sushil Kumar Kabra
  1. Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Aditya Kumar Gupta, adivick{at}gmail.com

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.

  • childhood nutrition (paediatrics)
  • infant health
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Footnotes

  • Contributors AKG: the corresponding author, hereby declares that all the authors have contributed to the preparation of this case report. AJ was involved in the conception of the case report, acquisition of the information and he prepared the manuscript. AKG was involved in preparation of the manuscript, provided academic inputs and revised it critically before the final submission. KRJ was involved in preparation of the manuscript, provided academic inputs and approval before the final submission. SKK was involved in preparation of the manuscript, provided academic inputs and approval before the final submission. All the authors approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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