{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:34:32Z","timestamp":1762018472429,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:00:00Z","timestamp":1682467200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 44-year-old female patient presented with weight loss, diarrhea and intermittent episodes of left upper quadrant (LUQ) pain lasting for 3\u00a0years, accompanied by acute episodes of focal LUQ pain, dizziness, tachycardia, borborygmi and bloating, occurring approximately 60\u00a0min after meals. The patient developed chronic acalculous cholecystitis and transient exocrine pancreatic insufficiency after infection with Coxsackievirus B4 (CVB4), which resolved following laparoscopic cholecystectomy 2\u00a0years before the current presentation. Although imaging and functional investigation studies were unremarkable, a gastric transit study revealed rapid clearance of radiolabeled food, and the patient\u2019s symptomatology and gastrointestinal studies supported the diagnosis of late dumping syndrome. The patient\u2019s symptoms significantly improved with adherence to recommended dietary changes, including an increase in protein intake, abstinence from simple carbohydrates and avoidance of simultaneous consumption of beverages with food, following consultation with a dietitian.<\/jats:p>","DOI":"10.1093\/jscr\/rjad205","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T09:01:03Z","timestamp":1682499663000},"source":"Crossref","is-referenced-by-count":2,"title":["Late dumping syndrome preceded by Coxsackievirus B4 infection and cholecystectomy"],"prefix":"10.1093","volume":"2023","author":[{"given":"Joshua","family":"Weiss","sequence":"first","affiliation":[{"name":"Department of Microbiology, St. George\u2019s University, School of Medicine , True Blue Campus, St. George, Grenada , West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connor","family":"Fewel","sequence":"additional","affiliation":[{"name":"Department of Microbiology, St. George\u2019s University, School of Medicine , True Blue Campus, St. George, Grenada , West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oyediran","family":"Akinrinade","sequence":"additional","affiliation":[{"name":"Department of Microbiology, St. George\u2019s University, School of Medicine , True Blue Campus, St. George, Grenada , West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Harrington","sequence":"additional","affiliation":[{"name":"Department of Microbiology, St. George\u2019s University, School of Medicine , True Blue Campus, St. George, Grenada , West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"2023042609003624200_ref1","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 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