Domination of Gastric Complications Among Diabetic Patients

Domination of Gastric Complications Among Diabetic Patients

Abdul Kader Mohiuddin

Department of Pharmacy, World University of Bangladesh, 151/8, Green Road, Dhanmondi, Dhaka – 1205, Bangladesh

Open Journal of Gastroenterology and Hepatology

This article covers the epidemiology, pathophysiology/complications and management of diabetic gastroparesis (DGP), and more broadly diabetic gastroenteropathy, which encompasses all the gastrointestinal manifestations of diabetes mellitus (DM). Hyperglycemia, autonomic neuropathy, and enteric neuromuscular inflammation and injury are implicated in the pathogenesis of delayed gastric emptying (GE). Initial options include dietary modifications, supplemental oral nutrition, and antiemetic and prokinetic medications. Patients with more severe symptoms may require a venting gastrostomy or jejunostomy and/or gastric electrical stimulation (GES). To date, few population-based studies have estimated the true prevalence and incidence of gastroparesis. Nonetheless, its prevalence appears to be rising, as does its incidence among minority populations, documented via hospitalizations, which can impose significant economic burdens on patients.

Keywords: gastroparesis; pyloric dysfunction; diabetes; delayed gastric emptying; dyspepsia; gastric electrical stimulation

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Abdul Kader Mohiuddin.Domination of Gastric Complications Among Diabetic Patients.Open Journal of Gastroenterology and Hepatology, 2019, 2:9

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