Diabetic gastroparesis

✍ Scribed by Goddard, WP ;Youde, JY ;Davies, MJ ;Rathbone, BJ ;McNally, PG

• Publisher: John Wiley and Sons
• Year: 1995
• Tongue: English
• Weight: 550 KB
• Volume: 12
• Category: Article
• ISSN: 1357-8170
• DOI: 10.1002/pdi.1960120616

✦ Synopsis

Abstract

We describe the case of a man with chronic poor glycaemic control who developed multiple complications. Gastroparesis was proven on radio‐nucleotide scanning and failed to respond to therapeutic interventions. Despite his glycaemic control being optimised he was admitted frequently with intractable vomiting and abdominal pain and did not respond to conventional treatment. A percutaneous endoscopic feeding gastro‐jejunos‐tomy was inserted under local anaesthesia. The double lumen system allowed easy drainage of retained gastric content while facilitating jejunal feeding via a soft biliary tube. The technique we have described may be of benefit in the management of severe diabetic gastroparesis.