Korean Journal of Gastrointestinal Motility  2003;9(1):62-65

A Case of Diabetic Gastroparesis Presenting as Acute Gastric Dilatation.

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

Affiliations

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Keywords

Diabetic gastroparesis; Acute gastric dilatation

Country

Republic 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.