Management of severe gastroparesis diabeticorum

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6990.1331b (Published 20 May 1995) Cite this as: BMJ 1995;310:1331
  1. M J Davies,
  2. B J Rathbone,
  3. P G McNally,
  4. J H Youde,
  5. W P Goddard
  1. Senior registrar Consultant physician and gastroenterologist Consultant physician Leicester Royal Infirmary, Leicester LE1 5WW
  2. Research registrar Department of Geriatric Medicine, Glenfield General Hospital, Leicester LE3 9QP
  3. Research registrar Department of Gastroenterology, City Hospital, Nottingham NG5 1PB

    EDITOR,—The debate over the management of gastroparesis diabeticorum reflects how difficult this condition is to manage.1 We have had similar difficulties in managing a 46 year old man with longstanding diabetes treated with insulin.

    The patient had various long term complications, including peripheral neuropathy, diabetic nephropathy (evident on renal biopsy), and impotence as well as hypertension and angina. He was admitted recurrently with abdominal pain, nausea, and vomiting. On each occasion he received intravenous fluids and insulin and a nasogastric tube was inserted. …

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