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Is Sigstad’s score really capable of detecting post-surgical late dumping syndrome?

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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/m2 at 4 months, -15.58 kg/m2 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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Data availability

Data available on request due to restrictions eg privacy or ethical. The data presented in this study are available on request from S.K.

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Funding

The authors received no financial support for the research, authorship, and publication of this article.

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Authors and Affiliations

  1. Bariatric Surgery, Westküstenklinikum Heide, Esmarchstraße 50, 25746, Heide, Schleswig-Holstein, Germany

    Jan-Henrik Rieck, Hagen Heidinger, Erik Schlöricke, Nina Schmidt & Steffen Krause

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  1. Jan-Henrik Rieck
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  2. Hagen Heidinger
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  3. Erik Schlöricke
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Contributions

J.-H.R. wrote the main manuscript text. Conceptualization, J.-H.R., H.H., S.K., E.S.; methodology, J.-H.R., H.H.; data collection, N.S., S.K.; analysis, J.-H.R..; writing-original draft preperation, J.-H.R.; writing-review and editing, J.-H.R., S.K.; visualization, J.-H.R.; supervision, E.S., S.K. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Jan-Henrik Rieck.

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Rieck, JH., Heidinger, H., Schlöricke, E. et al. Is Sigstad’s score really capable of detecting post-surgical late dumping syndrome?. Langenbecks Arch Surg 409, 94 (2024). https://doi.org/10.1007/s00423-024-03283-2

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