Gastric dumping syndrome screening
|
Gastric dumping syndrome Microchapters |
|
Differentiating Gastric dumping syndrome from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Gastric dumping syndrome screening On the Web |
|
American Roentgen Ray Society Images of Gastric dumping syndrome screening |
|
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.[1]
- 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.[2]
- 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.
| 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. A. Fatigue, B. Palpitations, C. Sweating/Flushing, D. Cold sweats, E. Need to lie down, F. Diarrhea, G. Nausea/Vomiting feelings, H. Cramp in the stomach, I. Fainting-esteem "shaky" |
| Q13 | Do you avoid certain foods to avoid or alleviate problems associated with food? |
| 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? |
References
- ↑ name="urlwww.practicalgastro.com">"www.practicalgastro.com" (PDF).
- ↑ Laurenius A, Olbers T, Näslund I, Karlsson J (2013). "Dumping syndrome following gastric bypass: validation of the dumping symptom rating scale". Obes Surg. 23 (6): 740–55. doi:10.1007/s11695-012-0856-0. PMID 23315151.