Loss Angelo Bustani, de Souza Antônio Augusto Peixoto, Pitombo Cid Araújo, Milcent Marcel, Madureira Fernando Athaíde Veloso
UFRJ - RJ - BR.
Rev Col Bras Cir. 2009 Oct;36(5):413-9. doi: 10.1590/s0100-69912009000500009.
The objective of this research was to determine the real prevalence and characteristics of dumping syndrome in a series of cases submitted to laparoscopic Roux-en-Y gastric bypass for morbid obesity.
We assessed dumping symptoms in 34 patients who had undergone that procedure; they filled a questionnaire, which included the dumping clinical diagnosis score proposed by Sigstad.
regarding patients' complaints, dumping prevalence was 44%. This number increased to 76% when applying the Sigstad's score. The most frequent symptoms were 'need for lying down' (88%), fatigue (69%) and sleepiness (69%). Only 28% of the dumpers felt incapable of performing everyday activities. There was no difference in weight loss percentage between dumpers and non-dumpers.
The Sigstad score is an usefull tool for the diagnostic of dumping, but a critic vision must be adopted when using in patients submitted to the Roux en Y gastric bypass. The dumping syndrome was frequent in this group, although usually under-diagnosed; it neither hampers patients' everyday activities considerably, nor helps in the weight-loosing process.
本研究的目的是确定一系列接受腹腔镜Roux-en-Y胃旁路手术治疗病态肥胖的病例中倾倒综合征的实际患病率和特征。
我们评估了34例接受该手术患者的倾倒症状；他们填写了一份问卷，其中包括Sigstad提出的倾倒临床诊断评分。
关于患者的主诉，倾倒患病率为44%。应用Sigstad评分时，这一数字增至76%。最常见的症状是“需要躺下”（88%）、疲劳（69%）和嗜睡（69%）。只有28%的倾倒患者感觉无法进行日常活动。倾倒患者和非倾倒患者之间的体重减轻百分比没有差异。
Sigstad评分是诊断倾倒的有用工具，但在应用于接受Roux-en-Y胃旁路手术的患者时必须持批判态度。该组中倾倒综合征很常见，尽管通常诊断不足；它既不会严重妨碍患者的日常活动，也无助于减肥过程。
