Erschienen in:
21.06.2019 | Letter to the Editor
Time to Dump Late Dumping Syndrome Terminology
verfasst von:
Elisa Rogowitz, Mary-Elizabeth Patti, Helen M. Lawler
Erschienen in:
Obesity Surgery
|
Ausgabe 9/2019
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Excerpt
We read with interest the recent article by Ahmad et al. on the prevalence of late dumping syndrome (DS) [
1]. They used the Sigstad scoring system to diagnose subjects with DS. Subjects that met the 3.26 cutoff score were determined to have early DS versus late DS dependent on timing of symptoms, occurring within 1 h or 1–3 h post-prandially. The Sigstad scoring system does not effectively discern for the presence of hypoglycemia. For example, if a patient developed dizziness (1.5pts), nausea (1 pt), and abdominal cramping (1 pt) over 1 h post-prandially, the cutoff score is exceeded and the patient would be classified as late DS, regardless of the fact that none of the symptoms are reflective of hypoglycemia. Since the hallmark of late DS is hypoglycemia, this indicates the need for updated nomenclature. …
