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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 365 - 371 (7page)
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초록· 키워드
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The role of surgical intervention in patients with diabetic gastroparesis is unclear. We reporta case of a 37-year-old man with a history of recurrent episodes of vomiting and long-standingtype 2 diabetes mellitus. Esophagogastroduodenoscopy did not reveal any findings of refluxesophagitis or obstructive lesions. A gastric emptying time scan showed prolonged gastricemptying half-time (344 minutes) indicating delayed gastric emptying. Laboratory testsrevealed elevated fasting serum glucose and glycosylated hemoglobin (HbA1c, 12.9%) andnormal fasting C-peptide and insulin levels. We performed Roux-en-Y reconstruction aftersubtotal gastrectomy to treat gastroparesis and improve glycemic control, and the patientshowed complete resolution of gastrointestinal symptoms postoperatively. Barium swallowtest and gastric emptying time scan performed at follow-up revealed regular progressionof barium and normal gastric emptying. Three months postoperatively, his fasting serumglucose level was within normal limits without the administration of insulin or oralantidiabetic drugs with a reduced HbA1c level (6.9%). Long-limb Roux-en-Y reconstructionafter subtotal gastrectomy may be useful to treat severe diabetic gastroparesis by improvinggastric emptying and glycemic control.
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등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Horowitz M / 1996 / Gastric emptying in diabetes: an overview / Diabet Med 13:S16~S22
Rabine JC / 2001 / Management of the patient with gastroparesis / J Clin Gastroenterol 32:11~18
Tog C / 2017 / Risk factors for delayed gastric emptying following laparoscopic repair of very large hiatus hernias / BJS Open 1:75~83
McCallum RW / 1991 / Completion gastrectomy for refractory gastroparesis following surgery for peptic ulcer disease. Long-term follow-up with subjective and objective parameters / Dig Dis Sci 36:1556~1561
Ejskjaer NT / 1999 / Novel surgical treatment and gastric pathology in diabetic gastroparesis / Diabet Med 16:488~495
Rabine JC / 2001 / Management of the patient with gastroparesis / J Clin Gastroenterol 32:11~18
Tog C / 2017 / Risk factors for delayed gastric emptying following laparoscopic repair of very large hiatus hernias / BJS Open 1:75~83
McCallum RW / 1991 / Completion gastrectomy for refractory gastroparesis following surgery for peptic ulcer disease. Long-term follow-up with subjective and objective parameters / Dig Dis Sci 36:1556~1561
Ejskjaer NT / 1999 / Novel surgical treatment and gastric pathology in diabetic gastroparesis / Diabet Med 16:488~495
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