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Gastrointestinal Complications of Diabetes

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

For the most part, there are no specific guidelines for the management of upper gastrointestinal symptoms and disorders in the diabetic patient. Given the impact of hyperglycemia on upper gastrointestinal motility, attention must always be paid to glycemic control. Conversely, the impact of poor oral intake and recurrent vomiting on blood sugar levels and overall nutritional status must, at all times, be borne in mind. In the assessment of the diabetic with GERD, the possible contribution of impaired motility to symptomatology and its implications for therapy must be remembered. Many options are available for the symptomatic and supportive management of diabetic gastroparesis; their efficacy is often supported by a slim evidence base.

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Abbreviations

5-HT:

5-Hydroxytryptamine

EndoFLIP® :

Endoscopic functional luminal imaging probe

GERD:

Gastroesophageal reflux disease

GES:

Gastric electrical stimulation

HbA1c:

Glycated hemoglobin

PPI:

Proton pump inhibitor

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Authors and Affiliations

  1. Lynda K. and David M. Underwood Center for Digestive Disorders, Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX, USA

    Ayah Oglat & Eamonn M. M. Quigley

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  1. Ayah Oglat
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  2. Eamonn M. M. Quigley
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Correspondence to Eamonn M. M. Quigley .

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  1. Sestre milosrdnice University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia

    Marko Duvnjak

  2. Merkur University Hospital, University of Zagreb School of Medicine, Zagreb, Croatia

    Lea Smirčić-Duvnjak

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Oglat, A., Quigley, E.M.M. (2018). Treatment. In: Duvnjak, M., Smirčić-Duvnjak, L. (eds) Gastrointestinal Complications of Diabetes . Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-75856-5_7

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