Factors affecting the quality of life of patients after gastrectomy as assessed using the newly developed PGSAS-45 scale: A nationwide multi-institutional study

Table 2 Postgastrectomy syndrome assessment scale original items English version

PGSAS-45 is consisting of SF-8 (item 1-8), GSRS (item 9-23) and PGSAS original items (item 24-45)
24	Have you been bothered by bile regurgitation (having a bitter taste in your mouth) during the past month?
25	Have you been bothered by sense of foods sticking when swallowing during the past month? (Sticking food refers to uncomfortable feeling with foods piled up in the chest.)
26	Have you been bothered by postprandial fullness during the past month? (Fullness refers to uncomfortable or heavy feeling with foods piled up in the stomach.)
27	Have you been bothered by being unable to eat enough because you feel full before you finish your meal during the past month?
28	Have you been bothered by circumumbilical pains or lower abdominal pains during the past month?
29	Have you experienced following symptoms around 30 min after eating during the past month? Please encircle the number that describes your symptom. (Please check all the symptoms you have experienced.)
	(Ans. Q29)
	1. No symptoms below
	[You have experienced following general symptoms.]
	2. Cold sweat 3. Palpitations 4. Dizziness 5. Numbness 6. Fainting 7. Facial flushing
	8. Facial pallor 9. Feeling hot 10. Fatigue or weakness 11. Lassitude 12. Drowsiness
	13. Headache 14. Heaviness of the head 15. Tightness in the chest
	[You have experienced following abdominal symptoms.]
	16. Borborygmi (except after drinking milk) 17. Abdominal cramps (except after drinking milk)
	18. Diarrhoea (except after drinking milk) 19. Nausea 20. Vomiting 21. Bloating
	22. Abdominal discomfort
30	For those who encircled any of the general symptom-related items in Question 29, to what extent have you been bothered by all these general symptoms during the past month?
31	For those who encircled any of the abdominal symptom-related items in Question 29, to what extent have you been bothered by all these abdominal symptoms during the past month?
32	Have you experienced following symptoms within two to three hours after eating during the past month? Please circle the number that describes your symptom. (Please check all the symptoms you have experienced.)
	(Ans. Q32)
	1. No symptoms below
	[You have experienced following general symptoms.]
	2. Cold sweat 3. Palpitations 4. Dizziness 5. Headache 6. Fainting 7. Fatigue or weakness
	8. Lassitude 9. Languor 10. Shakiness 11. Hunger 12. Shortness of breath
33	For those who encircled any of the general symptom-related items in Question 32, to what extent have you been bothered by all these general symptoms during the past month?
	(Ans. Q24-28, 30 ,31, 33)
	1. No discomfort at all 2. Slight discomfort 3. Mild discomfort 4. Moderate discomfort
	5. Moderately severe discomfort 6. Severe discomfort 7. Very severe discomfort
34	On average what percent of preoperative food intake have you taken in single meal during the past month?
	(Ans. Q34)
	About ( ) % of the preoperative single ingested amount
35	On average, what percent of preoperative food intake have you taken per day during the past month?
	(Ans. Q35)
	About ( ) % of the preoperative total daily ingested amount
36	On average, how many main meals have you taken per day during the past month?
	(Ans. Q36)
	About ( ) times per day
37	On average, how often have you taken additional meals (light meal or snack) per day during the past month?
	(Ans. Q37)
	About ( ) times per day
38	Have you had appetite during the past month?
39	Have you felt hunger during the past month?
40	Have you felt satiety during the past month? (Satiety refers to comfortable feeling with your stomach being full.)
	(Ans. Q38-40)
	1. Never 2. Occasionally (less than once a week) 3. Often (twice to three times per week)
	4. Frequently (four to six times per week) 5. Always (every day)
41	Please encircle the number that most accurately describes the necessity for additional meals (light meal or snack) during the past month?
	(Ans. Q41)
	1. Food intake was enough with main meals; three times per day.
	2. Food intake was slightly insufficient with main meals; three times per day, and you sometimes needed to take additional meals.
	3. Food intake was significantly insufficient with main meals; three times per day, and you had to take additional meals.
	4. Even though you had taken additional meals besides main meals; three times per day, food intake was insufficient.
	5. Food intake was insufficient because you were not able to take additional meals besides breakfast, lunch and dinner.
42	Please encircle the number which exactly describes your living status (ability for working or housekeeping) during the past month?
	(Ans. Q42)
	1. You were able to handle your work or housework sufficiently and could even manage to work overtime. You enjoyed trip, sports, leisure activities, and dining out as you used to before operation.
	2. You were able to work or handle housework as usual (By work as usual we mean during normal working hours without overtime). (You felt no difficulty when avoiding excessive work)
	3. You had some difficulties with working or keeping house. You were able to handle lighter duties (70 to 80 percent of the previous activities).
	4. You had moderate difficulties with working or keeping house (about 50 percent of the previous activities).
	5. You could scarcely work or keep house.
43	How often have you felt dissatisfied with the chest or abdominal symptoms due to gastrectomy during the past month?
44	How often have you felt dissatisfied with being unable to eat as intended due to gastrectomy during the past month? ("being unable to eat as intended" here means that you are not able to eat what you like, with no limitation in amount and in speed.)
45	How often have you felt dissatisfied with your limited daily activities (working or housekeeping) due to gastrectomy during the past month?
	(Ans. Q43-45)
	1. Not at all 2. Slightly 3. Moderately 4. Significantly 5. Extremely
	PGSAS-45 original items [item 24-45] English version 1.0 © 2016 K Nakada, M Takahashi