engleski

Diabetic gastroparesis - from diagnosis to gastric electrical stimulation treatment

The most common known underlying cause of gastroparesis is diabetes mellitus. General symptoms and signs include nausea, vomiting, bloating and early satiety. The diagnosis of diabetic gastroparesis (DGP) is closely made based on clinical history, exclusion of gastrointestinal obstruction by endoscopy and abdominal ultrasound, and confirmation of delay in gastric emptying by gastric emptying scintigraphy. First-line interventions for DGP are dietary modifications and prokinetic- antiemetic therapy. In cases resistant to maximal medical therapy, gastric electrical stimulation is indicated.The aim is to alleviate both the severity and frequency of symptoms, improve gastric emptying, ameliorate patient’s nutritional status and to optimize glycemic control.

diabetes mellitus ; electrical stimulation therapy ; gastroparesis ; scintigraphy

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