<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1281</journal-id>
<journal-title><![CDATA[Revista Cirugía del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Urug.]]></abbrev-journal-title>
<issn>1688-1281</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Cirugía del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12812025000101309</article-id>
<article-id pub-id-type="doi">10.31837/cir.urug/9.1.21</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de dumping postquirúrgico en paciente con bypass gástrico: reporte de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Postsurgical dumping syndrome in a patient with gastric bypass: clinical case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de dumping pós-cirúrgica em paciente submetido a bypass gástrico: relato de caso clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Navas]]></surname>
<given-names><![CDATA[Jorge Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dulcey-Sarmiento]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Ayala]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Therán-León]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toscano-Dulcey]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Santander Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de los Andes Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Mérida ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Santander Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Santander Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12812025000101309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12812025000101309&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12812025000101309&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se reporta el caso de una paciente de 42 años con antecedente de cirugía de bypass gástrico, quien presentó síntomas compatibles con síndrome de dumping, caracterizado por sudoración, palpitaciones, mareo y diarrea postprandial. Los estudios paraclínicos evidenciaron una respuesta bifásica en la prueba de tolerancia a la glucosa, con hiperglucemia inicial e hipoglucemia tardía, junto con un vaciamiento gástrico acelerado en la gammagrafía con radionucleótidos. El manejo incluyó modificaciones dietéticas con fraccionamiento de comidas, reducción de carbohidratos simples y aumento en el consumo de proteínas y grasas, con mejoría clínica. Este caso enfatiza la importancia del reconocimiento temprano del síndrome de dumping y la implementación de estrategias nutricionales para mejorar la calidad de vida del paciente tras cirugía bariátrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  We report the case of a 42-year-old female patient with a history of gastric bypass surgery who presented with symptoms consistent with dumping syndrome, including sweating, palpitations, dizziness, and postprandial diarrhea. Paraclinical studies revealed a biphasic response in the oral glucose tolerance test, with early hyperglycemia followed by late hypoglycemia, as well as accelerated gastric emptying on radionuclide scintigraphy. Management included dietary modifications, such as meal fractionation, reduction of simple carbohydrates, and increased protein and fat intake, leading to clinical improvement. This case highlights the importance of early recognition of dumping syndrome and the implementation of nutritional strategies to enhance the quality of life of patients after bariatric surgery.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Relatamos o caso de uma paciente de 42 anos com histórico de cirurgia de bypass gástrico que apresentou sintomas compatíveis com síndrome de dumping, caracterizados por sudorese, palpitações, apatia e diarreia. Exames complementares revelaram tumores pós-bifásicos sem teste de tolerância à glicose, com hiperglicemia inicial e hipoglicemia tardia, além de esvaziamento gástrico acelerado e cintilografia com radionuclídeos. O tratamento incluiu modificações na dieta, como refeições menores, redução de carboidratos simples e aumento da ingestão de proteínas e gorduras, resultando em melhora clínica. Este caso destaca a importância do reconhecimento precoce da síndrome de dumping e da implementação de estratégias nutricionais para melhorar a qualidade de vida de pacientes após cirurgia bariátrica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de dumping]]></kwd>
<kwd lng="es"><![CDATA[Cirugía bariátrica]]></kwd>
<kwd lng="es"><![CDATA[Vaciamiento gástrico acelerado]]></kwd>
<kwd lng="en"><![CDATA[Dumping syndrome]]></kwd>
<kwd lng="en"><![CDATA[Bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[Accelerated gastric emptying]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Esvaziamento Rápido]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia Bariátrica]]></kwd>
<kwd lng="pt"><![CDATA[Esvaziamento gástrico acelerado]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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