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Motility disorders and gastric emptying in diabetes mellitus. Current diagnostics and treatment


Authors: J. Bureš 1,2;  A. Šmahelová 3,4;  I. Tachecí 1,2;  S. Rejchrt 1,2;  M. Kopáčová 1,2
Authors‘ workplace: II. interní klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Jaroslav Malý, CSc. 1;  Subkatedra gastroenterologie Lékařské fakulty UK Hradec Králové, vedoucí prof. MUDr. Jan Bureš, CSc. 2;  Klinika gerontologická a metabolická Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Luboš Sobotka, CSc. 3;  Subkatedra diabetologie Lékařské fakulty UK Hradec Králové, vedoucí doc. MUDr. Alena Šmahelová, Ph. D. 4
Published in: Vnitř Lék 2011; 57(4): 351-355
Category: 12th national Symposium diabetes, "Diabetes and Gastroenterology", Hradec Kralove, 4 to 5 June 2010

Overview

Autonomic neuropathy of the gastrointestinal tract is a common complication of diabetes mellitus. However, it is seldom re­cognised properly as it is rarely considered. In some patients, it might be asymptomatic or hardly compensatable diabetes can be the only one sign. There are non-invasive diagnostic methods to assess gastric emptying rate (13C-octanoic acid breath test) or myoelectric activity of the stomach (electrogastrography). The principle treatment comprises optimal control of diabetes and use of prokinetics.

Key words:
diabetes mellitus – motor disorder – gastroparesis – gastric emptying rate – electrogastrography


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