Long-term outcomes of postgastrectomy syndrome after total laparoscopic distal gastrectomy using the augmented rectangle technique

Table 1 Postgastrectomy Syndrome Assessment Scale-37 evaluation items

	Item		Subscales
Symptom	1	Abdominal pains	Esophageal reflux subscale (items 2, 3, 5, 16)
	2	Heartburn	Abdominal pain subscale (items 1, 4, 20)
	3	Acid regurgitation	Meal-related distress subscale (items 17-19)
	4	Sucking sensations in the epigastrium	Indigestion subscale (items 6-9)
	5	Nausea and vomiting	Diarrhea subscale (items 11, 12, 14)
	6	Borborygmus	Constipation subscale (items 10, 13, 15)
	7	Abdominal distension	Dumping subscale (items 22, 23, 25)
	8	Eructation
	9	Increased flatus	Total symptom score (more than seven subscale)
	10	Decreased passage of stools
	11	Increased passage of stools
	12	Loose stools
	13	Hard stools
	14	Urgent need for defecation
	15	Feeling of incomplete evacuation
	16	Bile regurgitation
	17	Sense of foods sticking
	18	Postprandial fullness
	19	Early satiation
	20	Lower abdominal pains
	21	Number and type of early dumping symptoms
	22	Early dumping, general symptoms
	23	Early dumping, abdominal symptoms
	24	Number and type of late dumping symptoms
	25	Late dumping symptoms
Living status	26	Ingested amount of food per meal1
	27	Ingested amount of food per day1
	28	Frequency of main meals
	29	Frequency of additional meals
	30	Appetite1	Quality of ingestion subscale (items 30-32)1
	31	Hunger feeling1
	32	Satiety feeling1
	33	Necessity for additional meals
	34	Ability for working
Quality of life	35	Dissatisfaction with symptoms	Dissatisfaction with daily life subscale (items 35-37)
	36	Dissatisfaction at the meal
	37	Dissatisfaction with working

¹Higher scores indicate a better condition. In items or subscale without ¹, higher scores indicate a worse condition. Each subscale and total symptom score is calculated as the average of its composite items or subscale score.