{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:21:45Z","timestamp":1791498105170,"version":"4.3.4"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Best Practice & Research Clinical Gastroenterology"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.bpg.2025.102075","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T16:53:52Z","timestamp":1765299232000},"page":"102075","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Nutritional approach to dumping syndrome"],"prefix":"10.1016","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2101-1118","authenticated-orcid":false,"given":"E.","family":"Scarpellini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Siquini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bpg.2025.102075_bib1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1177\/003591571300601929","article-title":"The cause and treatment of certain unfavourable after-effects of gastro- enterostomy","volume":"6","author":"Hertz","year":"1913","journal-title":"Proc Roy Soc Med"},{"issue":"1","key":"10.1016\/j.bpg.2025.102075_bib2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/obr.12467","article-title":"Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management","volume":"18","author":"van Beek","year":"2017","journal-title":"Obes Rev"},{"issue":"10","key":"10.1016\/j.bpg.2025.102075_bib3","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1038\/nrgastro.2009.148","article-title":"Pathophysiology, diagnosis and management of postoperative dumping syndrome","volume":"6","author":"Tack","year":"2009","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"2","key":"10.1016\/j.bpg.2025.102075_bib4","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3750","article-title":"Postbariatric surgery hypoglycemia: nutritional, pharmacological and surgical perspectives","volume":"40","author":"Rossini","year":"2024","journal-title":"Diabetes Metab Res Rev"},{"issue":"11","key":"10.1016\/j.bpg.2025.102075_bib5","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/j.soard.2021.05.020","article-title":"Dumping syndrome and postbariatric hypoglycemia: supporting evidence for a common etiology","volume":"17","author":"van Furth","year":"2021","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"10.1016\/j.bpg.2025.102075_bib6","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1245\/s10434-024-15881-x","article-title":"Occurrence of dumping syndrome after esophageal cancer surgery: systematic review and meta-analysis","volume":"32","author":"Lin","year":"2025","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bpg.2025.102075_bib7","series-title":"Surgery for peptic ulcer disease and postgastrectomy syndromes","first-page":"276","author":"Glasgow","year":"2009"},{"issue":"5\u20136","key":"10.1016\/j.bpg.2025.102075_bib8","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s003830000525","article-title":"Dumping syndrome: a common problem following Nissen fundoplication in young children","volume":"17","author":"Bufler","year":"2001","journal-title":"Pediatr Surg Int"},{"issue":"5","key":"10.1016\/j.bpg.2025.102075_bib9","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1007\/s00464-012-2629-1","article-title":"The role of dumping syndrome in weight loss after gastric bypass surgery","volume":"27","author":"Banerjee","year":"2013","journal-title":"Surg Endosc"},{"issue":"3","key":"10.1016\/j.bpg.2025.102075_bib10","first-page":"417","article-title":"Dumping syndrome after bariatric surgery: prevalence, pathophysiology and role in weight reduction\u2013a systematic review","volume":"86","author":"D'Hoedt","year":"2023","journal-title":"Acta Gastroenterol Belg"},{"issue":"4","key":"10.1016\/j.bpg.2025.102075_bib11","doi-asserted-by":"crossref","first-page":"522","DOI":"10.62713\/aic.3422","article-title":"Dumping syndrome after bariatric surgery","volume":"95","author":"Nofal","year":"2024","journal-title":"Ann Ital Chir"},{"issue":"8","key":"10.1016\/j.bpg.2025.102075_bib12","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1038\/s41574-020-0357-5","article-title":"International consensus on the diagnosis and management of dumping syndrome","volume":"16","author":"Scarpellini","year":"2020","journal-title":"Nat Rev Endocrinol"},{"issue":"6","key":"10.1016\/j.bpg.2025.102075_bib13","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1111\/j.0954-6820.1970.tb08072.x","article-title":"A clinical diagnostic index in the diagnosis of the dumping syndrome. Changes in plasma volume and blood sugar after a test meal","volume":"188","author":"Sigstad","year":"1970","journal-title":"Acta Med Scand"},{"issue":"1","key":"10.1016\/j.bpg.2025.102075_bib14","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s00423-024-03283-2","article-title":"Is Sigstad's score really capable of detecting post- surgical late dumping syndrome?","volume":"409","author":"Rieck","year":"2024","journal-title":"Langenbecks Arch Surg"},{"issue":"12","key":"10.1016\/j.bpg.2025.102075_bib15","doi-asserted-by":"crossref","first-page":"996","DOI":"10.2337\/diab.30.12.996","article-title":"The diagnosis of postprandial hypoglycemia","volume":"30","author":"Lev-Ran","year":"1981","journal-title":"Diabetes"},{"issue":"5","key":"10.1016\/j.bpg.2025.102075_bib16","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1038\/s41574-021-00474-5","article-title":"Reply to: late dumping syndrome or postprandial reactive hypoglycaemic syndrome after bariatric surgery","volume":"17","author":"Scarpellini","year":"2021","journal-title":"Nat Rev Endocrinol"},{"issue":"10","key":"10.1016\/j.bpg.2025.102075_bib17","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1111\/obr.12307","article-title":"Diagnostic tools for post- gastric bypass hypoglycaemia","volume":"16","author":"Emous","year":"2015","journal-title":"Obes Rev"},{"issue":"2","key":"10.1016\/j.bpg.2025.102075_bib18","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1111\/j.1651-2227.1988.tb10643.x","article-title":"Dumping syndrome in children. Diagnosis and effect of glucomannan on glucose tolerance and absorption","volume":"77","author":"Kneepkens","year":"1988","journal-title":"Acta Paediatr Scand"},{"issue":"6","key":"10.1016\/j.bpg.2025.102075_bib19","doi-asserted-by":"crossref","DOI":"10.1210\/jendso\/bvaa045","article-title":"A case of hypoglycemia associated with the ketogenic diet and alcohol use","volume":"4","author":"Spoke","year":"2020","journal-title":"J Endocr Soc"},{"key":"10.1016\/j.bpg.2025.102075_bib20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.2147\/CEG.S392265","article-title":"Dumping syndrome: pragmatic treatment options and experimental approaches for improving clinical outcomes","volume":"16","author":"Masclee","year":"2023","journal-title":"Clin Exp Gastroenterol"},{"issue":"1","key":"10.1016\/j.bpg.2025.102075_bib21","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11695-011-0461-7","article-title":"Symptoms suggestive of dumping syndrome after provocation in patients after laparoscopic sleeve gastrectomy","volume":"22","author":"Tzovaras","year":"2012","journal-title":"Obes Surg"},{"issue":"12","key":"10.1016\/j.bpg.2025.102075_bib22","doi-asserted-by":"crossref","first-page":"3179","DOI":"10.1007\/s11695-017-2742-2","article-title":"Incidence and predictors of hypoglycemia 1 year after laparoscopic sleeve gastrectomy","volume":"27","author":"Belligoli","year":"2017","journal-title":"Obes Surg"},{"issue":"6","key":"10.1016\/j.bpg.2025.102075_bib23","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.1210\/jc.2017-01695","article-title":"Incidence of hypoglycemia after gastric bypass vs sleeve gastrectomy: a randomized trial","volume":"103","author":"Capristo","year":"2018","journal-title":"J Clin Endocrinol Metab"},{"issue":"3","key":"10.1016\/j.bpg.2025.102075_bib24","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s11154-020-09571-8","article-title":"Diet approach before and after bariatric surgery","volume":"21","author":"Bettini","year":"2020","journal-title":"Rev Endocr Metab Disord"},{"key":"10.1016\/j.bpg.2025.102075_bib25","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/4135813","article-title":"Impact of laparoscopic sleeve gastrectomy on gastrointestinal motility","volume":"2018","author":"Sioka","year":"2018","journal-title":"Gastroenterol Res Pract"},{"issue":"10","key":"10.1016\/j.bpg.2025.102075_bib26","doi-asserted-by":"crossref","first-page":"4114","DOI":"10.1007\/s11695-025-08151-6","article-title":"Prevalence and risk factors of early dumping syndrome and postprandial hypoglycemia after sleeve gastrectomy: a long-term Follow-up study","volume":"35","author":"Liu","year":"2025","journal-title":"Obes Surg"},{"issue":"3","key":"10.1016\/j.bpg.2025.102075_bib27","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.soard.2016.11.004","article-title":"Evaluation of carbohydrate restriction as primary treatment for post-gastric bypass hypoglycemia","volume":"13","author":"van Meijeren","year":"2017","journal-title":"Surg Obes Relat Dis"},{"issue":"6","key":"10.1016\/j.bpg.2025.102075_bib28","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1089\/dia.2010.0203","article-title":"High glycemic variability assessed by continuous glucose monitoring after surgical treatment of obesity by gastric bypass","volume":"13","author":"Hanaire","year":"2011","journal-title":"Diabetes Technol Therapeut"},{"issue":"6","key":"10.1016\/j.bpg.2025.102075_bib29","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.2337\/dc15-0100","article-title":"Impact of fat, protein, and glycemic index on postprandial glucose control in type 1 diabetes: implications for intensive diabetes management in the continuous glucose monitoring era","volume":"38","author":"Bell","year":"2015","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.bpg.2025.102075_bib30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s11695-015-1722-7","article-title":"Effects of fat and protein preloads on pouch emptying, intestinal transit, glycaemia, gut hormones, glucose absorption, blood pressure and gastrointestinal symptoms after Roux-en-Y gastric bypass","volume":"26","author":"Nguyen","year":"2016","journal-title":"Obes Surg"},{"issue":"12","key":"10.1016\/j.bpg.2025.102075_bib31","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1016\/j.soard.2017.09.004","article-title":"Effect of meal size and texture on gastric pouch emptying and glucagon-like peptide 1 after gastric bypass surgery","volume":"13","author":"Stano","year":"2017","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"10.1016\/j.bpg.2025.102075_bib32","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/cen.13033","article-title":"Post-gastric bypass hypoglycaemia: a review","volume":"85","author":"Shantavasinkul","year":"2016","journal-title":"Clin Endocrinol (Oxf)"},{"issue":"8","key":"10.1016\/j.bpg.2025.102075_bib33","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1007\/s11695-014-1531-4","article-title":"Effects of posture and meal volume on gastric emptying, intestinal transit, oral glucose tolerance, blood pressure and gastrointestinal symptoms after Roux-en-Y gastric bypass","volume":"25","author":"Nguyen","year":"2015","journal-title":"Obes Surg"},{"key":"10.1016\/j.bpg.2025.102075_bib34","first-page":"17","article-title":"Experience with FreeStyle libre flash glucose monitoring system in management of refractory dumping syndrome in pregnancy shortly after bariatric surgery","volume":"12","author":"Novodvorsky","year":"2017","journal-title":"Endocrinol Diabetes Metab Case Rep"},{"issue":"2","key":"10.1016\/j.bpg.2025.102075_bib35","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/j.1440-1754.1994.tb00607.x","article-title":"Dumping syndrome after Nissen fundoplication","volume":"30","author":"Veit","year":"1994","journal-title":"J Paediatr Child Health"},{"issue":"4","key":"10.1016\/j.bpg.2025.102075_bib36","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1210\/jc.2009-1628","article-title":"Reversible hyperinsulinemic hypoglycemia after gastric bypass: a consequence of altered nutrient delivery","volume":"95","author":"McLaughlin","year":"2010","journal-title":"J Clin Endocrinol Metab"}],"container-title":["Best Practice & Research Clinical Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521691825001027?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521691825001027?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T16:31:52Z","timestamp":1766161912000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1521691825001027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":36,"alternative-id":["S1521691825001027"],"URL":"https:\/\/doi.org\/10.1016\/j.bpg.2025.102075","relation":{},"ISSN":["1521-6918"],"issn-type":[{"value":"1521-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nutritional approach to dumping syndrome","name":"articletitle","label":"Article Title"},{"value":"Best Practice & Research Clinical Gastroenterology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bpg.2025.102075","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"102075"}}