title: Diabetic gastroparesis: functional/morphologic background, diagnosis, and treatment options.
abstract: The regulation of gastrointestinal motility mainly involves the smooth muscle, neural (extrinsic and intrinsic), and hormonal elements, the glial cells, and the interstitial cells of Cajal. An orchestrated function of all these components is required for the appropriate propulsive movement of the food in the gastrointestinal tract. Gastroparesis, a pathological slowing-down of gastric emptying, is a result of the damage to the tissue elements involved in the regulation of motility. Gastroparesis is one of the well-known complications of long-standing diabetes mellitus. Although it is rarely a life-threatening complication, it has a deteriorating effect on the quality of life, leads to unpredictable oscillation of the blood glucose level, and increases the time required for the absorption of food and medicines. This review describes the clinical characteristics of diabetic gastroparesis and summarizes the organic and functional motility abnormalities caused by this complication. Finally, the currently available and potential future therapeutic approaches are summarized.
authors.affiliation: 1st Department of Medicine, Semmelweis University, Koranyi Sandor utca 2/a, 1081, Budapest, Hungary, horvathjviktor@gmail.com.
authors.forename: Viktor J
authors.initials: VJ
authors.lastname: Horváth
authors.forename: Ferenc
authors.initials: F
authors.lastname: Izbéki
authors.forename: Csaba
authors.initials: C
authors.lastname: Lengyel
authors.forename: Péter
authors.initials: P
authors.lastname: Kempler
authors.forename: Tamás
authors.initials: T
authors.lastname: Várkonyi
mesh_terms: D000818:Animals; D048909:Diabetes Complications / Q000175:diagnosis / Q000473:pathology* / Q000503:physiopathology* / Q000628:therapy; D005746:Gastric Emptying; D018589:Gastroparesis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D009457:Neuroglia / Q000473:pathology; D019001:Nitric Oxide Synthase / Q000378:metabolism
chemical_list: D019001:Nitric Oxide Synthase