Gastric dumping syndrome screening

Gastric dumping syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Overview

There is insufficient evidence to recommend routine screening for dumping syndrome. Screening is done after exposure to the risk factors for dumping syndrome. The Sigstad score is a table of symptoms used to differentiate dumpers from non-dumpers (healthy).

Screening

There is insufficient evidence to recommend routine screening for dumping syndrome.

Sigstad score

• The Sigstad score system is used to determine dumping syndrome versus non-dumping syndrome.
• A score greater than 7 suggests dumping.
• A score less than 4 is suggest other diseases.

Sigstad score
Shock	+5
Fainting, syncope, unconsciousness	+4
Desire to lie or sit down	+4
Breathlessness, dyspnoea	+3
Weakness, exhaustion	+3
Sleepiness, drowsiness, apathy, falling asleep	+3
Palpitation	+3
Restlessness	+2
Dizziness	+2
Headaches	+1
Feeling of warmth, sweating, pallor, clammy skin	+1
Nausea	+1
Abdominal fullness, meteorism	+1
Borborygmus	+1
Eructation	−1
Vomiting	−4

Visick classification

• The Visick classification is used to determine the severity of dumping syndrome.

Arts questionnaire

• The Arts' questionnaire helps distinguish early dumping syndrome from late dumping syndrome .

Early dumping symptoms	Late dumping symptoms
Sweating	Sweating
Flushing	Palpitations
Dizziness	Hunger
Palpitations	Drowsiness/unconsciousness
Abdominal pain	Tremor
Diarrhea	Irritability
Bloating
Nausea