A Case of Diabetic Gastroparesis Presenting as Acute Gastric Dilatation.
- Author:
Ji Han PARK
1
;
Sung Pyo HONG
;
Mun Ju JANG
;
Esther KIM
;
Il CHOI
;
Seon Young KWAK
;
Kwang Hyun KO
;
Seong Gyu HWANG
;
Pil Won PARK
Author Information
1. Department of Internal Medicine, Pochon CHA University College of Medicine, Sungnam, Korea. sphong@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetic gastroparesis;
Acute gastric dilatation
- MeSH:
Angiography;
Blood Glucose;
Diabetes Mellitus;
Diet;
Drainage;
Endoscopy;
Gastric Dilatation*;
Gastric Emptying;
Gastroparesis*;
Glucose;
Humans;
Nausea;
Tomography, X-Ray Computed;
Vomiting
- From:Korean Journal of Gastrointestinal Motility
2003;9(1):62-65
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diabetic gastroparesis is a pathologic condition of delayed gastric emptying with gastrointestinal symptoms such as nausea, early satiety and vomiting in the absence of mechanical obstruction in patients with diabetes mellitus. We report a case of diabetic gastroparesis who had diabetes mellitus for 13 years and suffered from nausea and vomiting with marked gastric dilatation of acute onset. Blood glucose level of the patient was very high and any mechanical obstruction was not found by gastroduodenal endoscopy, hypotonic duodenography, celiac angiography, electrogastrography and CT scan. Acute gastric dilatation was resolved with conservative treatment of gastric drainage, glucose control and hydration. Gastrointestinal symptoms of nausea and vomiting improved and diet was well tolerated thereafter.
