Description

Baik et al listed a rating system for impairment caused by a gastric or duodenal disorder. The authors are from Yonsei University, Seoul National University, Bundang Jesaeng General Hospital and other institutions in South Korea.


 

Patient selection – gastric or duodenal disorder with pain, bleeding and/or perforation

 

Parameters:

(1) weight loss (with successful therapy weight gain might be expected)

(2) management of gastric or duodenal disorder

(3) major impact on quality of life (due to pain, bleeding, etc)

Weight Loss

Impairment

0 to 9%

20-29%

10 to 19%

30-49%

20 to 29%

50-74%

>= 30%

>= 75%

 

 

Management of Gastric or Duodenal Disorder

Impairment

recovered after 1 operation

0-9%

symptoms eased, continual care needed

10-19%

more than 1 operation, continual care needed

20-29%

more than 1 operation, with ongoing complications (dumping syndrome, GERD, malabsorption)

30-49%

 

 

Major Impact on Quality of Life

Impairment

none

NA

requires intermittent treatment in hospital

30-49%

surgical treatment is possible

50-74%

surgical treatment is not possible

>= 75%

 

In the implementation will use MAX(management, QOL impact).

 


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