Gastric dumping syndrome screening

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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).

Screening

There is insufficient evidence to recommend routine screening for dumping syndrome.

  • The Sigstad score system is used to determine dumpers versus non-dumpers.[1]
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
  • To determine the severity the Visick classification is used.
  • The Arts' questionnaire helps distinguish early dumping syndrome from late dumping syndrome .
Early dumping symptoms Late dumping symptoms
Sweating Sweating
Flushing Palpitations
Dizziness Hunger
Palpitations Drowsiness/unconsciousness
Abdominal pain Tremor
Diarrhea Irritability
Bloating
Nausea

References

  1. name="urlwww.practicalgastro.com">"www.practicalgastro.com" (PDF).

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