Dumping Syndrome Following Gastric Bypass: Validation of the Dumping Symptom Rating Scale

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Laurenius, AnnaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education (author)

Dumping Syndrome Following Gastric Bypass : Validation of the Dumping Symptom Rating Scale

Article/chapterEnglish2013

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2013-01-14
Springer Science and Business Media LLC,2013
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LIBRIS-ID:oai:DiVA.org:oru-56595
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-56595URI
https://doi.org/10.1007/s11695-012-0856-0DOI
https://gup.ub.gu.se/publication/175764URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

There is a lack of prevalent data for dumping syndrome (DS) and methods discriminating between different symptoms of the DS. A self-assessment questionnaire, the Dumping Symptom Rating Scale (DSRS), was developed. The aim was to measure the severity and frequency of nine dumping symptoms and to evaluate the construct validity of the DSRS. Pre- and 1 and 2 years after Roux-en-Y gastric bypass surgery, 47 adults and 82 adolescents completed the DSRS. Cognitive interview was performed. Reliability and construct validity were tested. Effect sizes (ES) of changes were calculated. Patients found the questionnaire relevant. A high proportion of the respondents reported no symptoms affecting them negatively at all (floor effects). However, 12 % stated, quite severe, severe, or very severe problems regarding fatigue after meal and half of them were so tired that they needed to lie down. Nearly 7 % reported quite severe, severe, or very severe problems dominated by nausea and 6 % dominated by fainting esteem. The internal consistency reliability was adequate for both severity (0.81-0.86) and frequency (0.76-0.84) scales. ES were small, since some subjects experienced symptoms already preoperatively. Although most patients reported no or mild dumping symptoms 1 and 2 years after gastric bypass surgery, around 12 % had persistent symptoms, in particular, postprandial fatigue, and needed to lie down. Another 7 % had problems with nausea and 6 % had problems with fainting esteem. The DSRS is a reliable screening tool to identify these patients.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
Roux-en-Y gastric bypass
Dumping syndrome
Gastrointestinal symptoms
Construct validity
Roux-en-Y gastric bypass
Dumping syndrome
Gastrointestinal symptoms Construct validity

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Olbers, Torsten,1964Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education(Swepub:gu)xolbto (author)
Näslund, IngmarRegion Örebro län,Dept Upper Gastrosurg Res(Swepub:oru)OUH-in1na (author)
Karlsson, JanGothenburg University,Göteborgs universitet,Region Örebro län,Inst Hlth & Care Sci, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Ctr Hlth Care Sci, Örebro University Hospital, Örebro, Sweden,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xkjanf (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning (creator_code:org_t)

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In:Obesity Surgery: Springer Science and Business Media LLC23:6, s. 740-7550960-89231708-0428

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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