Gastric dumping syndrome screening

Gastric dumping syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Gastric dumping syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Gastric dumping syndrome screening On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Gastric dumping syndrome screening All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Gastric dumping syndrome screening
CDC on Gastric dumping syndrome screening
Gastric dumping syndrome screening in the news
Blogs on Gastric dumping syndrome screening
Directions to Hospitals Treating Gastric dumping syndrome
Risk calculators and risk factors for Gastric dumping syndrome screening

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). Other methods have been used but were never formally validated.

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.
• This questionnaire is scored on a 4-point Likert scale.

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

Visual Analogue Scale

• This is a survey used to determine early versus late dumping syndrome.
• A score greater than 10 mm suggests dumping.

Dumping Symptom Rating Scale

• Helps identify dumping symptoms.
• The questionnaire consists of 15 questions.
• This questionnaire is scored on a 6 to 7-point Likert scale.
• It is used 6-12 months after surgery.

Q#	Question
Q1	Have you during the past week, been bothered by fatigue short (about 10-30 minutes after meals?
Q2	Have you during the past week, been bothered by palpitations? short (about 10-30 minutes) after meals.
Q3	Have you during the past week, been bothered by sweating, flushing? short (about 10-30 minutes) after meals.
Q4	Have you during the past week, been bothered by cold sweats, paleness? short (about 10-30 minutes) after meals.
Q5	Have you during the last week felt the need to lie down for a while? short (about 10-30 minutes) after meals.
Q6	Have you during the last week suffered from diarrhea? short (about 10-30 minutes) after meals.
Q7	Have you during the last week suffered from nausea and / or vomiting feeling? short (about 10-30 minutes) after meals.
Q8	Have you during the last week suffered from "cramp" in the stomach? short (about 10-30 minutes) after meals.
Q9	Have you during the last week suffered from fainting-esteem and / or shaking? short (about 10-30 minutes) after meals.
Q10	Have you during the last week suffered from pain, vomiting, "stop, if you drink fluids in moderate amount in relation to a meal?
Q11	If you during the last week hastily drank heavily sweetened drinks do you have then suffered problems in the abdomen, faintness or fatigue?
Q12	Over the past two week, how often have you experienced the following problems? short (about 10-30 minutes) after meals. •Fatigue☐☐☐☐☐☐ •Palpitations☐☐☐☐☐☐ •Sweating/Flushing☐☐☐☐☐☐ •Cold sweats☐☐☐☐☐☐ •Need to lie down☐☐☐☐☐☐ •Diarrhea☐☐☐☐☐☐ •Nausea/Vomiting feelings☐☐☐☐☐☐ •Cramp in the stomach☐☐☐☐☐☐ •Fainting-esteem "shaky"☐☐☐☐☐☐
Q13	Do you avoid certain foods to avoid or alleviate problems associated with food? Yes or No?
Q14	If you answered Yes to question 13, mark a cross on the foods that you avoid to avoid or alleviate problems associated with food. ☐Fatty foods ☐Whole meat ☐High-fiber ☐Fruits ☐Sugar-rich products ☐Raw vegetables ☐Sweet drinks ☐Milk and milk products
Q15	If you filled out food in question 14, which inconveniences, troubles or problems is it that you mainly avoid?