Bilious Vomiting Syndrome
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Lab Increased glucose—worse with high carbohydrate meals—increased heamatocrit, decreased blood volume related to dehydration, decreased K+
Medical management Decreased carbohydrate intake, smaller meals, pectin—a dietary fiber— acarbose, anticholinergics, L-dopa, opiates
Surgical management 2–5% are medical failures, and require surgical conversion to a Roux-en-Y
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