Diabetic Gastroparesis and Gastropathy

Czech version

Authors: J. Pták ¹; Z. Häring ²
Authors‘ workplace: Krevní centrum Fakultní nemocnice s poliklinikou, Ostrava, primářka MUDr. Z. Čermáková 2Urologické oddělení Fakultní nemocnice s poliklinikou, Ostrava, primář MUDr. K. Mainer ¹
Published in: Prakt. Lék. 2003; (3): 164-166
Category:

Overview

Dysfunction of gastrointestinal tract affects about 30-60 % diabetic patients. The gastroparesisoccurs only in part of patients. Dysfunction has different manifestations from quantitative andqualitative changes of motility to alterations of visceral sensitivity. Pathogenesis of the disturbancesis multifactorial - autonomic neuropathy, quality of metabolic control, function of entericnervous system and others. Scintigraphy is a standard for making diagnosis. Due to its multifactorialnatural history, therapy is difficult. It encompasses dietary modifications, good control ofdiabetes, prokinetic drugs. New drugs and treatment techniques are beeing developed.

Key words:
Diabetic gastroparesis - Prokinetics - Pathogenesis - Therapy

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