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At the obesity centre Wertheim

Dumping syndrome Wertheim

Weak spells, nausea or low blood sugar after eating can point to dumping syndrome after a gastric bypass. Consultation, treatment and aftercare take place under one roof: at the Weight Doctors® Nationalklinik, the obesity centre Wertheim.

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How your therapy in Wertheim is structured

Two building blocks.
One plan.

The Weight Doctors® MEMBERSHIP is the foundation of every therapy: medical oversight, progress monitoring and aftercare. The treatment you choose together with your specialist builds on it.

Building block 1

Weight Doctors® MEMBERSHIP

The foundation for every Weight Doctors® therapy – with the tools that support your treatment and record your progress for your medical consultations.

  • Weight Doctors® AppKeep an eye on weight, activity and sleep, for iOS and Android
  • Digital body scalesBluetooth scales – the readings flow straight into the app
  • 3D BodyscanMeasure body composition objectively, up to twice a year
  • Priority access to specialistsby phone, video or on site, without a long wait
  • 360 coaches and Weight Doctors® MiraNutrition and behaviour in everyday life, aftercare with your coaches
  • E-prescription servicePrescriptions issued digitally – after medical approval
More on the Membership
Building block 2

Choose your 2nd building block

Choose a treatment – below it you will see your plan. Which one suits you is something you decide together with your specialist.

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Losing weight with surgeryHealth insurance cover also possible*

Your plan: Weight Doctors® MEMBERSHIP + Weight Doctors® REVISION

Procedure
Corrective procedure after weight-loss surgery
Duration
individual
Price
from €900

Corrective procedure after weight-loss surgery. Plus the Membership as the foundation: medical support, app, scales, 3D Bodyscan and aftercare.

* For patients with German statutory health insurance: if the medical indication is established in line with the DGAV guidelines, reimbursement may be possible.

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The Membership does not replace a medical decision: whether treatment makes sense, and which one, is decided by your specialist after a medical assessment.

Personally here for youDr. med. Oliver Scheffel and Dr. Nava Zimmer

Weight Doctors® in Wertheim

Dumping syndrome Wertheim at a glance

Obesity centre Wertheim

Dumping syndrome: consultation at the obesity centre Wertheim

Consultation, treatment and aftercare take place under one roof: at the Weight Doctors® Nationalklinik, the obesity centre Wertheim.

Full details are on the page Dumping syndrome: the treatment in detail.

  • Dumping syndrome can occur after a gastric bypass because food reaches the small intestine more quickly.
  • Early dumping shows shortly after eating, late dumping 1–3 hours afterwards as low blood sugar; many people have mixed forms.
  • The diagnostics – dumping score, glucose tolerance test, endoscopy – determine the form and cause.
  • The first step is always adjusted eating habits; if that is not enough, the connection is reduced endoscopically or the bypass is adjusted surgically.
  • In proven dumping that does not respond to therapy, there is a chance of cost coverage by German health insurance – without prior application.
Process

Our approach – step by step

  1. Initial contactIt begins with a detailed conversation – in person, by telephone or by video consultation.
  2. Detailed analysisWith a dumping score, we record your symptoms, your diet and your history in a structured way.
  3. Targeted diagnosticsA glucose tolerance test shows how your body reacts to sugar. An endoscopy shows how wide the connection between the gastric pouch and the small intestine (anastomosis) is.
  4. Clear identification of the causeFrom all of this together, we classify whether early, late or mixed dumping is present – and which path is the right one.
  5. Individual treatment strategyYour plan – from diet to correction of the anastomosis.
Who it is for

Typical symptoms of dumping syndrome

  • Early dumping (shortly after eating): nausea, racing heart, sweating, dizziness, abdominal cramps, diarrhoea
  • Late dumping (1–3 hours afterwards): low blood sugar, trembling, cravings, difficulty concentrating
  • Weak spells up to circulatory collapse
  • Complaints above all after sweet or carbohydrate-rich meals
  • Fear of eating – meals and social situations are avoided

The national obesity centre of Weight Doctors® – in Wertheim am Main

The Nationalklinik Wertheim is the heart of Weight Doctors®: as the only location, it brings the entire range of treatment together in one place. Bariatric operations take place here in a fully equipped hospital setting, complemented by endoscopic procedures, the complete MMK programme and long-term aftercare with a 360° coach.

At the Weight Doctors® Nationalklinik – a pilot project for specialised healthcare in rural areas – specialists in visceral surgery, endoscopy, nutritional medicine, psychology and anaesthesia work closely together. For more than 25 million people in Germany, the Nationalklinik can be reached in 60 to 90 minutes by car; from Frankfurt Airport it is around 95 kilometres, a good hour by car.

  • Everything under one roofDiagnostics, MMK programme, surgery, endoscopy, aftercare and 360° coaching – no travelling between different locations.
  • Chief physician principleIndication, choice of strategy and follow-up checks under the responsibility of the chief physician.
  • Complete hospital settingInpatient care, operating theatres and monitoring at the Weight Doctors® Nationalklinik.
  • Without advance applicationStomach reduction on German health insurance without an advance application: before surgery we check all the requirements and take care of communication with your health insurer.

Your specialists in Wertheim

  • GermanyNetherlandsDr. ScheffelSpecialist in general and bariatric surgery
  • GermanyAustriaProf. MillerSpecialist in general and visceral surgery
  • GermanyPD Dr. WichmannSpecialist in visceral surgery & expert in endobariatrics
  • GermanyM. MargolinsSpecialist in general surgery
  • GermanyM. ShalabiSpecialist in general and visceral surgery
  • GermanyDr. SchüderSpecialist in general, visceral and vascular surgery / specialist in specialised visceral surgery
  • GermanyA. SaberSpecialist in orthopaedics and trauma surgery
  • GermanyDr. JohnSpecialist in internal medicine & gastroenterology
  • GermanyDr. SudholtSpecialist in internal medicine
  • GermanyM. Al RashdanSpecialist in internal medicine & gastroenterology
  • GermanyM. Al HamedSpecialist in internal medicine & gastroenterology

All specialists

Your pathways in Wertheim

The full range of Weight Doctors® in Germany – from consultation to surgery at the Weight Doctors® Nationalklinik.

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How to find us in Wertheim

Rotkreuzstraße 2, 97877 Wertheim

  • By car

    Follow the A3 towards Würzburg/Munich. Leave the motorway at Wertheim/Marktheidenfeld and turn right towards Kreuzwertheim/Wertheim. After approx. 8 km, continue over the large roundabout and the Spessartbrücke to Wertheim. Follow the signs for “Krankenhaus” – the Nationalklinik is at Rotkreuzstraße 2. Parking is available at the roadside and on the hospital grounds, for low fees.

  • By train & public transport

    From Wertheim station or the central bus station (ZOB), take bus line 975, which departs directly from the station forecourt. The journey takes approx. 13 minutes – the bus stops right in front of the hospital.

  • From Frankfurt Airport (FRA)

    Wertheim is around 95 kilometres south-east of Frankfurt/Main Airport on the A3 – a good hour by car, longer depending on traffic. If you hire a car, follow the A3 towards Würzburg to the Wertheim/Marktheidenfeld exit. On request, we arrange a shuttle service from Frankfurt Airport directly to the Nationalklinik (for an additional charge).

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Frequently asked questions

Questions about Weight Doctors® in Wertheim

Where is dumping syndrome treated if I have my consultation in Wertheim?

Consultation, treatment and aftercare take place under one roof: at the Weight Doctors® Nationalklinik, the obesity centre Wertheim.

What is dumping syndrome?

A known accompanying effect after a gastric bypass: because food reaches the small intestine more quickly, circulatory and digestive complaints can occur after eating – from nausea and a racing heart to low blood sugar. It occurs in only some patients and can be treated.

What is the difference between early and late dumping?

Early dumping is caused by emptying into the small intestine too quickly and shows shortly after eating. Late dumping is based on reactive low blood sugar and comes 1–3 hours later. Many people have mixed forms.

After which meals do the symptoms occur?

Above all after sweet or carbohydrate-rich meals. After the bypass, the body reacts more sensitively to sugar and fast carbohydrates.

Is dumping syndrome dangerous?

The symptoms can range up to weak spells and circulatory collapse, and many people avoid meals or social situations out of fear. Have recurring symptoms checked rather than putting up with them.

Does dumping syndrome go away?

In many people it improves considerably with a targeted change in diet. If that is not enough, the anatomical causes – for example an anastomosis that is too wide – can be corrected endoscopically or surgically.

Can dumping be treated without an operation?

Often yes. The first step is always conservative therapy with a fixed meal structure and little sugar. If that does not help sufficiently, a gentle endoscopic reduction of the connection is often possible – without an open operation.

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