Dumping Syndrome Following Gastric Bypass: Validation of the Dumping Symptom Rating Scale
Abstract
There is a lack of prevalent data for dumping syndrome (DS) and methods discriminating between different symptoms of the DS. A self-assessment questionnaire, the Dumping Symptom Rating Scale (DSRS), was developed. The aim was to measure the severity and frequency of nine dumping symptoms and to evaluate the construct validity of the DSRS. Pre- and 1 and 2 years after Roux-en-Y gastric bypass surgery, 47 adults and 82 adolescents completed the DSRS. Cognitive interview was performed. Reliability and construct validity were tested. Effect sizes (ES) of changes were calculated. Patients found the questionnaire relevant. A high proportion of the respondents reported no symptoms affecting them negatively at all (floor effects). However, 12 % stated, quite severe, severe, or very severe problems regarding fatigue after meal and half of them were so tired that they needed to lie down. Nearly 7 % reported quite severe, severe, or very severe problems dominated by nausea and 6 % dominated by fainting esteem. The internal consistency reliability was adequate for both severity (0.81-0.86) and frequency (0.76-0.84) scales. ES were small, since some subjects experienced symptoms already preoperatively. Although most patients reported no or mild dumping symptoms 1 and 2 years after gastric bypass surgery, around 12 % had persistent symptoms, in particular, postprandial fatigue, and needed to lie down. Another 7 % had problems with nausea and 6 % had problems with fainting esteem. The DSRS…
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Approximately 12% had persistent dumping symptoms 1 to 2 years after surgery, especially postprandial fatigue necessitating lying down; 7% had persistent nausea and 6% had persistent fainting.
“Approximately, 12% had persistent dumping symptoms 1 to 2 years after surgery, especially postprandial fatigue necessitating lying down; 7% had persistent nausea and 6% had persistent fainting (14).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [14]
Symptoms suggestive of early and late dumping syndrome may be severe and persist in some patients many years after surgery.
“Symptoms suggestive of early and late dumping syndrome may be severe and persist in some patients many years after surgery (7,14).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [14]
Among 129 patients who underwent gastric bypass surgery, 12% reported severe fatigue after eating (half were so tired that they needed to lie down), 7% reported severe nausea and 6% severe fainting.
“Among 129 patients who underwent gastric bypass surgery, 12% reported severe fatigue after eating (half were so tired that they needed to lie down), 7% reported severe nausea and 6% severe fainting (14).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [14]
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van Beek, A. P., Emous, M., Laville, M., & Tack, J. (2017) · Obesity Reviews · doi:10.1111/obr.12467 · Cited by 288 · see citing works
“Among 129 patients who underwent gastric bypass surgery, 12% reported severe fatigue after eating (half were so tired that they needed to lie down), 7% reported severe nausea and 6% severe fainting (14).”
BackgroundCummings, C., Jiang, A., Sheehan, A., Ferraz‐Bannitz, R., Puleio, A., Simonson, D. C., Dreyfuss, J. M., & Patti, M. E. (2023) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.15096 · Cited by 27 · see citing works
- Authors
- Laurenius, A., Olbers, T., Näslund, I., & Karlsson, J.
- Affiliations
- University of Gothenburg (SE)
- Örebro University Hospital (SE)
- Corresponding author
- Laurenius, Anna
- Venue
- Obesity Surgery
- Published
- 2013-01-14
- Volume
- 23
- Issue
- 6
- Pages
- 740-755
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W1977631777
- Cited by
- 83
- References
- 5
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 10 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 12 · 2018: 8 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 4 · 2013: 1
- FWCI
- 6.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- dumping syndrome, Roux-en-Y gastric bypass
- MeSH terms
- Adolescent, Adult, Blood Glucose, Dumping Syndrome, Fatigue, Female, Humans, Male, Obesity, Morbid, Psychometrics, Surveys and Questionnaires, Sweden, Syncope, Reproducibility of Results, Gastric Bypass, Treatment Outcome, Postoperative Nausea and Vomiting, Diagnostic Self Evaluation
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