Education And Debate

Conservative treatment with alternative routes of drug administration

BMJ 1995; 310 doi: (Published 04 February 1995) Cite this as: BMJ 1995;310:311
  1. J G Llewelyn

    There seems little doubt that this unfortunate young person has unusually severe diabetic gastroparesis, a condition thought to be due to vagal denervation of the stomach. It is important, however, to identify and correct factors that may be aggravating the gastroparesis to cause such a difficult problem that required admission to hospital for one whole year.

    Swings in blood sugar concentrations, in particular hyperglycaemia, and fluctuation in serum potassium concentrations, may slow gastric emptying. Also dietary fat is known to impair gastric motility. Certain drugs may worsen the situation. With severe gastric …

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