AI Article Synopsis
- - The clinical trial investigates the effectiveness of the Sigstad score in identifying late dumping syndrome in patients post-sleeve gastrectomy or One Anastomosis Gastric Bypass, focusing on its reliability and potential for modification.
- - Conducted with 271 patients, the study collected various data types, including patient interviews and blood glucose measurements, but found no significant connection between late dumping syndrome and the Sigstad score or BMI post-surgery.
- - Results concluded that the Sigstad score is not a dependable method for detecting late dumping syndrome post-obesity surgery, suggesting the need for better alternatives that consider quality of life and are validated in larger groups.
Article Abstract
Background: This clinical trial explores the Sigstad score for late dumping syndrome in postoperative patients who have undergone sleeve gastrectomy (SG) or One Anastomosis Gastric Bypass (OAGB). The aims of this study are to investigate the correlations with late dumping syndrome, to evaluate the reliability and validity of the Sigstad score and to discuss a modified scoring system.
Methods: The study was conducted at the Obesity Center of the Westküstenklinikum Heide and included 271 patients. Data collection involved conducting interviews, diet diaries and measuring blood glucose levels. Non-parametric tests, logistic regression and McDonald's Omega were the selected statistical approaches.
Results: Body Mass Index (BMI) decreased over time (-9.67 kg/m at 4 months, -15.58 kg/m at 12 months). Preoperatively, the Sigstad score exhibited the highest value, and no occurrences of late dumping syndrome were observed. No significant differences were found in BMI concerning late dumping syndrome or Sigstad score among postoperative patients. Postoperative patients experienced an increase in gastrointestinal symptoms. The reliability test showed a McDonald's omega value of 0.509. The analysis conducted through binary logistic regression indicated dizziness as a significant predictor of late dumping syndrome; however, this finding did not hold up after performing Bonferroni correction.
Conclusion: The Sigstad score is not a reliable or valid method for detecting late dumping syndrome after surgery for obesity and metabolic disorders. It is necessary to have alternatives that use objective measures and assess the quality of life, and that these alternatives be validated in large patient cohorts.
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Article Synopsis
- - Post-bariatric surgery hypoglycemia, also called late dumping syndrome, is a challenging condition caused by various factors like surgery changes, hormone adjustments, and hidden health issues, requiring a team approach for treatment.
- - A case study of a 36-year-old nurse showed she had ongoing hypoglycemia after gastric sleeve surgery, leading to the discovery of an autoimmune disorder called latent autoimmune diabetes in adults (LADA).
- - The patient's treatment was updated to include insulin and a new drug, teplizumab, to manage her diabetes, highlighting the need for detailed evaluations and teamwork among healthcare professionals to improve patient outcomes after bariatric surgery.
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