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Type: Journal article
Title: Pathophysiology and management of diabetic gastropathy - A guide for endocrinologists
Author: Kuo, P.
Rayner, C.
Jones, K.
Horowitz, M.
Citation: Drugs, 2007; 67(12):1671-1687
Publisher: Adis International Ltd
Issue Date: 2007
ISSN: 0012-6667
Statement of
Paul Kuo; Christopher K Rayner; Karen L Jones; Michael Horowitz
Abstract: Delayed gastric emptying is frequently observed in patients with long-standing type 1 and type 2 diabetes mellitus, and potentially impacts on upper gastrointestinal symptoms, glycaemic control, nutrition and oral drug absorption. The pathogenesis remains unclear and management strategies are currently suboptimal. Therapeutic strategies focus on accelerating gastric emptying, controlling symptoms and improving glycaemic control. The potential adverse effects of hyperglycaemia on gastric emptying and upper gut symptoms indicate the importance of normalising blood glucose if possible. Nutritional and psychological supports are also important, but often neglected. A number of recent pharmacological and non-pharmacological therapies show promise, including gastric electrical stimulation. As with all chronic illnesses, a multidisciplinary approach to management is recommended, but there are few data regarding long-term outcomes.
Keywords: Animals; Humans; Gastroparesis; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Dopamine Agonists; Dopamine Antagonists; Serotonin Antagonists; Diet; Electric Stimulation; Endocrinology; Gastric Emptying; Specialization; Serotonin Receptor Agonists
RMID: 0020072877
DOI: 10.2165/00003495-200767120-00003
Appears in Collections:Medicine publications

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