PMID: 3768652Oct 1, 1986Paper

The 15-minute dumping provocation test

The British Journal of Surgery
I P LinehanM HOBSLEY

Abstract

Following gastric surgery, the diagnosis of the dumping syndrome (DS) has never been precise. The importance of diagnosis is not only in deciding management, but also in comparing series of incidences. The mainstay of diagnosis has been the gastric emptying and dumping provocation test (DPT); however it requires expensive equipment and the interpretation of the results is subjective and therefore variable. In 38 DPTs the percentage plasma volume and pulse rate changes, 15 min after the ingestion of 150 ml of hypertonic glucose, were expressed as percentages of the maximum values encountered and summed to form a score. The tests were independently interpreted by the authors and where they disagreed the result was defined as equivocal. The score was used with the symptoms provoked to follow a simple algorithm to divide the patients into those with and those without DS. There were six suffering from DS on our current interpretation; the new method identified all of these. Three tests were positive on the scoring scheme only and on review the interpreters agreed that all of these patients were suffering from the dumping syndrome. An accurate test using only the baseline and 15 min samples is simple, cheap and has definite rules of ...Continue Reading

References

Sep 1, 1978·The British Journal of Surgery·D N RalphsL P Le Quesne
Oct 1, 1981·The British Journal of Surgery·M Hobsley
Jan 16, 1960·British Medical Journal·M HOBSLEY, L P LE QUESNE
Jan 16, 1960·British Medical Journal·L P LE QUESNEB H HAND

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Citations

Apr 1, 1994·Journal of Paediatrics and Child Health·F VeitA G Catto-Smith
Dec 1, 1996·Scandinavian Journal of Gastroenterology·F G van der KleijA A Masclee
Mar 7, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Joris ArtsJan Tack
Feb 19, 2011·Journal of Obesity·Florencia HalperinAllison B Goldfine
Aug 8, 2014·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·John P Mordes, Laura C Alonso
Dec 22, 1998·The American Journal of Gastroenterology·J VechtA A Masclee
Nov 1, 1991·The British Journal of Surgery·C R MackieM N Hartley
Jan 1, 1988·Langenbecks Archiv für Chirurgie·M Hobsley
Sep 27, 2007·The Journal of Clinical Endocrinology and Metabolism·A B GoldfineM E Patti

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