Cuando comer se convierte en un problema
- Abadía-Otero, Jesica 1
- Cobos-Siles, Marta María 1
- Gabella-Martín, Miriam 1
- Briongos-Figuero, Laisa Socorro 1
- 1 Servicio de Medicina Interna, Hospital Universitario Río Hortega, Valladolid, España
ISSN: 2530-0792
Any de publicació: 2018
Títol de l'exemplar: Supplement 1: Diabetes Group
Volum: 3
Número: 0
Pàgines: 10-11
Tipus: Article
Altres publicacions en: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)
Objectius de Desenvolupament Sostenible
Resum
Diabetic gastroparesis is a complication characterized by the slowing of gastric emptying without mechanical obstruction that affects the morbidity and quality of life of patients. Between 5 and 12% of patients present symptoms suggestive of gastroparesis that are maintained over time. The pathogenic mechanisms are not yet clear but they involve nerve alterations at the level of enteric cells, interstitial cells of Cajal and the vagus nerve. Management must be multidisciplinary, including nutritional status, symptom control and the implementation of glycemic control and gastric emptying with new therapies such as electrostimulation.
Referències bibliogràfiques
- Camilleri M, Bharucha AE, Farrugia G. Epidemiology, mechanisms, and management of diabetic gastroparesis. Clin Gastroenterol Hepatol. 2011; 9: 5-12.
- Camilleri M. Diabetic Gastroparesis. N Engl J Med. 2007; 356: 820-829.
- Vanormelingen C, Tack J, Andrews CN. Diabetic gastroparesis. Br Med Bull. 2013; 105: 213-230. doi: https://doi.org/10.1093/bmb/ldt003.
- Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L. Clinical Guideline: Management of Gastroparesis. The American Journal of Gastroenterology. 2013; 108(1): 18-38. doi: https://doi.org/10.1038/ajg.2012.373.
- Da Silva LM, da Silva RCMVAF, Maria-Ferreira D, Beltrame OC, da Silva-Santos JE, Werner MFP. Vitamin C Improves Gastroparesis in Diabetic Rats: Effects on Gastric Contractile Responses and Oxidative Stress. Dig Dis Sci. 2017 Jun 21. doi: https://doi.org/10.1007/s10620-017-4632-9.