When eating becomes a problem
DOI:
https://doi.org/10.32818/reccmi.a3s1a5Keywords:
diabetic gastroparesis, diabetes pharmacotherapy, diabetic complications, dyspepsiaAbstract
Diabetic gastroparesis is a complication characterized by the slowing of gastric emptying without mechanical obstruction that affects the morbidity and quality of life of patients. Between 5 and 12% of patients present symptoms suggestive of gastroparesis that are maintained over time. The pathogenic mechanisms are not yet clear but they involve nerve alterations at the level of enteric cells, interstitial cells of Cajal and the vagus nerve. Management must be multidisciplinary, including nutritional status, symptom control and the implementation of glycemic control and gastric emptying with new therapies such as electrostimulation.
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Camilleri M, Bharucha AE, Farrugia G. Epidemiology, mechanisms, and management of diabetic gastroparesis. Clin Gastroenterol Hepatol. 2011; 9: 5-12.
Camilleri M. Diabetic Gastroparesis. N Engl J Med. 2007; 356: 820-829.
Vanormelingen C, Tack J, Andrews CN. Diabetic gastroparesis. Br Med Bull. 2013; 105: 213-230. doi: https://doi.org/10.1093/bmb/ldt003.
Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L. Clinical Guideline: Management of Gastroparesis. The American Journal of Gastroenterology. 2013; 108(1): 18-38. doi: https://doi.org/10.1038/ajg.2012.373.
Da Silva LM, da Silva RCMVAF, Maria-Ferreira D, Beltrame OC, da Silva-Santos JE, Werner MFP. Vitamin C Improves Gastroparesis in Diabetic Rats: Effects on Gastric Contractile Responses and Oxidative Stress. Dig Dis Sci. 2017 Jun 21. doi: https://doi.org/10.1007/s10620-017-4632-9.
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Copyright (c) 2018 Jesica Abadía-Otero, Marta María Cobos-Siles, Miriam Gabella-Martín, Laisa Socorro Briongos-Figuero
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