The MULGO group developed a pocket chart to predict dyspepsia in a patient 1 year after cholecystectomy. This can help the patient understand the chances for one of the possible outcomes after the surgery. The authors are from multiple hospitals in Denmark.
Parameters:
(1) symptoms coinciding with pain
(2) headache
(3) dyspepsia score
(4) being repelled by food
Dyspepsia score is based on the presence (1 point) or absence (0 points) of:
(1) dysphagia
(2) globus
(3) acid regurgitation
(4) heartburn
(5) nausea
(6) vomiting
(7) flatulence
(8) eructation
(9) borborygmus
(10) diarrhea
(11) constipation
(12) intermittent constipation and diarrhea
(13) abdominal distention
(14) rapid satiety
(15) incomplete defecation
(16) anorexia
|
Parameter |
Finding |
Points |
|
symptoms coincide with pain |
no |
0 |
|
|
yes |
- 27 |
|
strong headaches |
no |
0 |
|
|
yes |
16 |
|
being repelled by food |
no |
0 |
|
|
yes |
16 |
|
dyspepsia score |
0 |
0 |
|
|
1 |
3 |
|
|
2 |
6 |
|
|
3 |
9 |
|
|
4 |
12 |
|
|
5 |
16 |
|
|
6 |
19 |
|
|
7 |
22 |
|
|
8 |
25 |
|
|
9 |
28 |
|
|
10 |
31 |
|
|
11 |
34 |
|
|
12 |
37 |
where:
• The maximum dyspepsia score is 16 but for practical purposes it should be 14 (diarrhea, constipation and intermittent constipation-diarrhea would not coexist) but the point assignment only goes to 12.
total score =
= SUM(points for all 4 parameters) - 9
X =
= (total score) / 10
probability of dyspeptic symptoms 1 year after cholecystectomy =
= 1 / (1 + EXP((-1) * X))
Specialty: Gastroenterology, Surgery, general
ICD-10: ,
