[Gastric motor dysfunction in diabetic patients: pathogenesis, clinical manifestations, diagnosis and treatment].
Recent reports provide evidence, that the disordered gastric motoric function in diabetic patients depends on glycaemia and that it can influence metabolic control. The etiopathogenesis of disordered gastric motoric function is poorly understood and is mainly hypothetical. The diagnosis of this dysfunction is difficult. It is recommended to evaluate of gastric motility, especially by scintigraphy, manometry and electrogastrography. In the treatment, it is important to remember about the good metabolic control of diabetes and use the gastrokinetic drugs in the combination or alternating therapy. In especially severe cases, surgical therapy is indicated. Lack of effective method of gastric motoric dysfunction treatment in diabetic patients suggest the necessity of further studies on new drugs, which would normalise the motoric abnormality and eliminate the symptoms.
Sokup
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Kliniki Gastroenterologii i Chorób Wewnetrznych Wojewódzki Szpital im. J. Biziela.
Swiatkowski
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D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000628:therapy; D005769:Gastrointestinal Motility; D006801:Humans; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control
Zaburzenia motoryki zoładka u chorych na cukrzyce: patogeneza, obraz kliniczny, rozpoznanie i leczenie.