Gastric dumping syndrome secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Secondary Prevention
Secondary prevention is similar to primary prevention.
- Intravenous fluid substitution is not effective in preventing early dumping symptoms.[1]
The Sigstad score system is used to determine dumpers versus non-dumpers.[2]
| 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 | |
References
- ↑ JOHNSON LP, SLOOP RD, JESSEPH JE (1962). "Etiologic significance of the early symptomatic phase in the dumping syndrome". Ann. Surg. 156: 173–9. PMC 1466323. PMID 14452070.
- ↑ JOHNSON LP, SLOOP RD, JESSEPH JE (1962). "Etiologic significance of the early symptomatic phase in the dumping syndrome". Ann. Surg. 156: 173–9. PMC 1466323. PMID 14452070.