Sigstad developed a clinical index to identify a patient with the dumping syndrome. The author is from the University of Bergen in Norway.
Parameters:
(1) preshock or shock (hypotension)
(2) syncope, faintness, loss of consciousness
(3) desire to lie down
(4) breathlessness, dyspnea
(5) weakness, feeling exhausted
(6) drowsiness, sleepiness, yawning, falling asleep, apathy
(7) palpitations
(8) restlessness
(9) dizziness
(10) headaches
(11) sweating, feeling warm, clammy skin, pallor
(12) nausea
(13) feeling of fullness in the abdomen, meteorismus (a feeling of excessive gas in the intestines, tympanites)
(14) borborygmia (rumbling sound as gas moves through contracting intestines)
(15) eructations
(16) vomiting
Parameter |
Finding |
Points |
---|---|---|
preshock or shock |
absent |
0 |
|
present |
5 |
syncope, faintness, loss of consciousness |
absent |
0 |
|
present |
4 |
desire to lie down |
absent |
0 |
|
present |
4 |
breathlessness, dyspnea |
absent |
0 |
|
present |
3 |
weakness or feeling exhausted |
absent |
0 |
|
present |
3 |
drowsiness, sleepiness, etc |
absent |
0 |
|
present |
3 |
palpitations |
absent |
0 |
|
present |
3 |
restlessness |
absent |
0 |
|
present |
2 |
dizziness |
absent |
0 |
|
present |
2 |
headaches |
absent |
0 |
|
present |
1 |
sweating, feeling warm, clammy skin |
absent |
0 |
|
present |
1 |
nausea |
absent |
0 |
|
present |
1 |
feeling full in the abdomen |
absent |
0 |
|
present |
1 |
borborygmia |
absent |
0 |
|
present |
1 |
eructations |
absent |
0 |
|
present |
-1 |
vomiting |
absent |
0 |
|
present |
-4 |
total index =
= SUM(points for all 16 parameters)
Interpretation:
• minimum index: -5
• maximum index: 34
• The higher the index the more likely the patient has the dumping syndrome.
Total Index |
Dumping Syndrome |
---|---|
<= 4 |
absent |
5 or 6 |
uncertain |
>= 7 |
present |
Purpose: To evaluate a patient for the dumping syndrome using the clinical index of Sigstad.
Specialty: Gastroenterology
Objective: clinical diagnosis, including family history for genetics, criteria for diagnosis, severity, prognosis, stage
ICD-10: K91.1,