Gastric dumping syndrome diagnostic study of choice

Jump to navigation Jump to search


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

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 diagnostic study of choice 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 diagnostic study of choice

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 diagnostic study of choice

CDC on Gastric dumping syndrome diagnostic study of choice

Gastric dumping syndrome diagnostic study of choice in the news

Blogs on Gastric dumping syndrome diagnostic study of choice

Directions to Hospitals Treating Gastric dumping syndrome

Risk calculators and risk factors for Gastric dumping syndrome diagnostic study of choice

Overview

The two most sensitive and specific tests used in confirming the clinical suspicion and in diagnosing Dumping syndrome. They are the oral glucose tolerance test and the Hydrogen breath test.

Diagnostic Study of Choice

Study of choice:

  • Oral glucose tolerance test is the study of choice for the diagnosis of early dumping syndrome and late dumping syndrome.
  • A mixed-meal tolerance test is the study of choice for the diagnosis of late dumping syndrome.

The comparison table for diagnostic studies of choice for Dumping syndrome

Table 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 tolerance 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

Oral glucose tolerance test
  • The patient fasts overnight.
  • An oral glucose load of 50 grams or 75 grams in solution is given.
  • Readings of the heart rate and blood pressure are taken before the ingestion
  • Blood is drawn before the ingestion.
  • Then after ingestion, every 30 minutes until 180 minutes, readings and blood are taken.
  • If the patient has an

References

  • References should be cited for the material that you have put on your page. Type in {{reflist|2}}.This will generate your references in small font, in two columns, with links to the original article and abstract.
  • For information on how to add references into your page, click here.