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

Česká verzia

Authors: J. Bureš ^1,2; A. Šmahelová ^3,4; I. Tachecí ^1,2; S. Rejchrt ^1,2; M. Kopáčová ^1,2
Authors place of work: 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 the journal: Vnitř Lék 2011; 57(4): 351-355
Category: 12th national Symposium diabetes, "Diabetes and Gastroenterology", Hradec Kralove, 4 to 5 June 2010

Summary

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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