Pathophysiology of diabetic gastroparesis

被引:23
作者
Enck, P
Frieling, T
机构
关键词
D O I
10.2337/diab.46.2.S77
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Our understanding of the nature of diabetic gastroparesis has advanced in the last decade due to new investigational procedures (electrogastrography, visceral evoked potential recording), and transferring these insights into clinical routine will be our task in the future. Meanwhile, the clinical relevance of gastroparesis-whether overt or silent-remains unquestioned: proper gastric emptying is a prerequisite for adequate metabolic control, and its disturbance may result not only in further progression of the chronic complications of the disease, but also in the false assumption that these patients are not compliant with their doctor's management-the patients just may have delayed emptying of their stomach without noticing it.
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页码:S77 / S81
页数:5
相关论文
共 33 条
[21]   ABNORMAL PERCEPTION OF VISCERAL PAIN IN RESPONSE TO GASTRIC DISTENSION IN CHRONIC IDIOPATHIC DYSPEPSIA - THE IRRITABLE STOMACH SYNDROME [J].
LEMANN, M ;
DEDERDING, JP ;
FLOURIE, B ;
FRANCHISSEUR, C ;
RAMBAUD, JC ;
JIAN, R .
DIGESTIVE DISEASES AND SCIENCES, 1991, 36 (09) :1249-1254
[22]   ERYTHROMYCIN ACCELERATES SOLID EMPTYING AT THE EXPENSE OF GASTRIC SIEVING [J].
LIN, HC ;
SANDERS, SL ;
GU, YG ;
DOTY, JE .
DIGESTIVE DISEASES AND SCIENCES, 1994, 39 (01) :124-128
[23]   HIGHLY VARIABLE GASTRIC-EMPTYING IN PATIENTS WITH INSULIN-DEPENDENT DIABETES-MELLITUS [J].
NOWAK, TV ;
JOHNSON, CP ;
KALBFLEISCH, JH ;
ROZA, AM ;
WOOD, CM ;
WEISBRUCH, JP ;
SOERGEL, KH .
GUT, 1995, 37 (01) :23-29
[24]   VISCERAL AFFERENT NEUROPATHY IN DIABETIC GASTROPARESIS [J].
RATHMANN, W ;
ENCK, P ;
FRIELING, T ;
GRIES, FA .
DIABETES CARE, 1991, 14 (11) :1086-1089
[25]  
SAMSOM M, 1995, GASTROENTEROLOGY, V108, pA682
[26]   EFFECT OF ERYTHROMYCIN ON GASTRIC-MOTILITY IN CONTROLS AND IN DIABETIC GASTROPARESIS [J].
TACK, J ;
JANSSENS, J ;
VANTRAPPEN, G ;
PEETERS, T ;
ANNESE, V ;
DEPOORTERE, I ;
MULS, E ;
BOUILLON, R .
GASTROENTEROLOGY, 1992, 103 (01) :72-79
[27]  
TALLEY NJ, 1992, ALIMENT PHARM THER, V6, P273
[28]   PREVALENCE OF GASTROINTESTINAL SYMPTOMS IN THE ELDERLY - A POPULATION-BASED STUDY [J].
TALLEY, NJ ;
OKEEFE, EA ;
ZINSMEISTER, AR ;
MELTON, LJ .
GASTROENTEROLOGY, 1992, 102 (03) :895-901
[29]   CEREBRAL-EVOKED POTENTIAL RESPONSES FOLLOWING DIRECT VAGAL AND ESOPHAGEAL ELECTRICAL-STIMULATION IN HUMANS [J].
TOUGAS, G ;
HUDOBA, P ;
FITZPATRICK, D ;
HUNT, RH ;
UPTON, ARM .
AMERICAN JOURNAL OF PHYSIOLOGY, 1993, 264 (03) :G486-G491
[30]   THERE ARE NO MORPHOLOGIC ABNORMALITIES OF THE GASTRIC WALL OR ABDOMINAL VAGUS IN PATIENTS WITH DIABETIC GASTROPARESIS [J].
YOSHIDA, MM ;
SCHUFFLER, MD ;
SUMI, SM .
GASTROENTEROLOGY, 1988, 94 (04) :907-914