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Related Experiment Videos

[Diabetic gastroparesis]

E Stahl, G Bischof, K Rösner

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |July 15, 1980
    PubMed
    Summary
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    A 61-year-old patient with long-standing diabetes mellitus experienced gastric issues, initially suspected as cancer. The condition was diagnosed as gastroparesis diabeticorum, requiring diabetes management and medication, not surgery.

    Area of Science:

    • Gastroenterology
    • Endocrinology
    • Medical Diagnostics

    Background:

    • A 61-year-old male with insulin-dependent diabetes mellitus since 1959 presented with symptoms.
    • Initial investigations in 1973 using Wolf-Schindler gastroscopy raised suspicion of gastric carcinoma.

    Observation:

    • The patient was readmitted in May 1975 due to a hypoglycemic shock.
    • Radiological imaging revealed large filling defects in the stomach.
    • Gastroscopic examination showed non-specific whitish-yellow masses, with histology revealing food debris, gastritis, and fungal settlement.

    Findings:

    • Gastroscopic findings normalized after several days of fasting and gastric lavage.
    • Combined radiological and gastroscopic findings led to the diagnosis of gastroparesis diabeticorum.

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  • Histological examination ruled out malignancy, identifying food particles and inflammation.

    • Implications:

    • Optimal diabetes mellitus management is crucial for treating gastroparesis diabeticorum.
    • Metoclopramide is recommended as a therapeutic agent.
    • Surgical intervention is deemed inadvisable for this condition.