Type 1 diabetes and gastroparesis: diagnosis and treatment.
Type 1 diabetes and gastroparesis: diagnosis and treatment.
复制标题
1 型糖尿病和胃轻瘫：诊断和治疗。
DOI：
10.1007/s11894-007-0029-9
复制
发表时间：
2007
影响因子：
--
通讯作者：
Hasler,WilliamL
中科院分区：
文献类型：
--
作者：
Hasler,WilliamL
胃轻瘫患者出现胃肠道症状和非胃肠道症状，并伴有客观的胃排空延迟。这种情况使许多1型糖尿病患者的病程复杂化，通常是那些长期血糖控制不佳并有其他相关糖尿病并发症的患者。诊断是通过直接评估排除可能模仿胃轻瘫临床表现的器质性疾病，再加上胃滞留的验证来做出的。目前的治疗方法依赖于饮食调整、刺激胃排空的药物和减少呕吐的药物。内窥镜和外科手术越来越多地用于药物治疗无效的患者。
Patients with gastroparesis present with gastrointestinal symptoms and non-gastrointestinal manifestations in association with objective delays in gastric emptying. The condition complicates the course of many patients with type 1 diabetes mellitus, usually in those with longstanding poor glycemic control with other associated diabetic complications. The diagnosis is made by directed evaluation to exclude organic diseases that can mimic the clinical presentation of gastroparesis, coupled with verification of gastric retention. Current therapy relies on dietary modifications, medications to stimulate gastric evacuation, and agents to reduce vomiting. Endoscopic and surgical options are increasingly used in patients who are refractory to drug treatment.