Diabetic gastroparesis due to postprandial antral hypomotility in childhood.
Nausea, vomiting, chronic abdominal pain, and constipation developed in three children with insulin-dependent diabetes mellitus beginning 1 to 7 years after the onset of diabetes. All three had considerable difficulty in achieving satisfactory glycemic control. All had delayed gastric emptying of solids and postprandial antral hypomotility. Diabetic autonomic neuropathy must be considered in the differential diagnosis of gastrointestinal symptoms even in the young diabetic patient.
Reid
B
B
Department of Pediatrics, Baylor College of Medicine, Houston, TX.
DiLorenzo
C
C
Travis
L
L
Flores
A F
AF
Grill
B B
BB
Hyman
P E
PE
D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000503:physiopathology; D004386:Duodenum / Q000503:physiopathology; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005746:Gastric Emptying; D005769:Gastrointestinal Motility; D006801:Humans; D008297:Male; D008365:Manometry; D016065:Myoelectric Complex, Migrating; D010243:Paralysis / Q000209:etiology* / Q000503:physiopathology; D011706:Pyloric Antrum / Q000503:physiopathology; D013272:Stomach Diseases / Q000209:etiology* / Q000503:physiopathology