Diabetic gastroparesis

被引:213
作者
Camilleri, Michael [1 ]
机构
[1] Mayo Clin, Coll Med, Rochester, MN USA
关键词
D O I
10.1056/NEJMcp062614
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
A 36-year-old man with a 20-year history of type 1 diabetes mellitus, background retinopathy, peripheral sensory neuropathy, and nephropathy presents with a history of several months of nausea and vomiting. On physical examination (performed 1 hour after the patient has eaten), his blood pressure is 130/80 mm Hg while he is lying down and 110/60 mm Hg while he is standing. His abdomen is not tender. There is epigastric distention, but no splash is audible when the upper abdomen is shaken. How should this patient be evaluated and treated? Copyright © 2007 Massachusetts Medical Society.
引用
收藏
页码:820 / 829
页数:10
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