Journal
EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY
Volume 7, Issue 2, Pages 127-139Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1586/EGH.12.82
Keywords
diabetic gastroparesis; heme oxygenase-1; interstitial cells of Cajal; neuronal nitric oxide synthase; postprandial glycemia; Type 1 diabetes; Type 2 diabetes
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Delayed gastric emptying affects a substantial proportion of patients with long-standing diabetes, and when associated with symptoms and/or disordered glycemic control, affects quality of life adversely. Important clinicopathological insights have recently been gained by the systematic analysis of gastric biopsies from patients with severe diabetic gastroparesis, which may stimulate the development of new therapies in the coming decade. Experience with prokinetic therapies and treatments, such as pyloric botulinum toxin injection and gastric electrical stimulation, has established that relief of symptoms does not correlate closely with acceleration of delayed gastric emptying, and that well-designed controlled trials are essential to determine the efficacy of emerging therapies.
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