Gastric dumping syndrome diagnostic study of choice: Difference between revisions

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== Diagnostic Study of Choice ==
== Diagnostic Study of Choice ==


=== Gold standard/Study of choice: ===
=== Study of choice: ===
* Oral glucose provocation test is the gold standard test for the diagnosis of dumping syndrome.
* Oral glucose provocation test is the study of choice for the diagnosis of dumping syndrome.


==== The comparison table for diagnostic studies of choice for Dumping syndrome ====
==== The comparison table for diagnostic studies of choice for Dumping syndrome ====
Line 19: Line 19:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
|-
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Oral glucose provocation
! style="background: #696969; color: #FFFFFF; text-align: center;" |<small>✔ </small>Oral glucose provocation
| style="background: #DCDCDC; padding: 5px; text-align: center;" |
| style="background: #DCDCDC; padding: 5px; text-align: center;" |100%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |92%
|-
|-
! style="background: #696969; color: #FFFFFF; text-align: center;" |Hydrogen breath
! style="background: #696969; color: #FFFFFF; text-align: center;" |Hydrogen breath
| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |100%
| style="background: #DCDCDC; padding: 5px; text-align: center;" |
| style="background: #DCDCDC; padding: 5px; text-align: center;" |?
|}
|}
<small> ✔= The best test based on the feature </small>
<small> ✔= The best test based on the feature </small>


===== Diagnostic results =====
===== Diagnostic results =====
The following result of [investigation name] is confirmatory of [disease name]:
The following result of the oral glucose provocation test is confirmatory of dumping syndrome:
* Result 1
* An increase in the heart rate by 10 beats per minute or more in the first hour after an oral glucose challenge of 50 grams glucose after fasting for 10 hours.
* Result 2
The following result of the hydrogen breath test is confirmatory of dumping syndrome:
 
* A positive hydrogen breath test after glucose ingestion.
===== Sequence of Diagnostic Studies =====
The [name of investigation] should be performed when:
* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
* A positive [test] is detected in the patient, to confirm the diagnosis.


=== Diagnostic Criteria ===
=== Diagnostic Criteria ===

Revision as of 01:31, 29 November 2017


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

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Diagnostic Study of Choice

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Overview

The two most sensitive and specific tests used in diagnosing Dumping syndrome are the Oral Glucose Provocation test and the Hydrogen Breath test.

Diagnostic Study of Choice

Study of choice:

  • Oral glucose provocation test is the study of choice for the diagnosis of dumping syndrome.

The comparison table for diagnostic studies of choice for Dumping syndrome

Sensitivity Specificity
Oral glucose provocation 100% 92%
Hydrogen breath 100% ?

✔= The best test based on the feature

Diagnostic results

The following result of the oral glucose provocation test is confirmatory of dumping syndrome:

  • An increase in the heart rate by 10 beats per minute or more in the first hour after an oral glucose challenge of 50 grams glucose after fasting for 10 hours.

The following result of the hydrogen breath test is confirmatory of dumping syndrome:

  • A positive hydrogen breath test after glucose ingestion.

Diagnostic Criteria

  • Here you should describe the details of the diagnostic criteria.
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  • [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
  • There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
  • The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
  • The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
  • [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
    • Criteria 1
    • Criteria 2
    • Criteria 3

IF there are clear, established diagnostic criteria:

  • The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
  • The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
  • The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].

IF there are no established diagnostic criteria: 

  • There are no established criteria for the diagnosis of [disease name].


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