Abstract
For the most part, the evaluation of upper gastrointestinal symptoms in diabetics should be similar to that in nondiabetics. In the assessment of GERD, however, it seems prudent to pay attention to esophageal motor function given the high prevalence of esophageal dysmotility among diabetics. The assessment of symptoms suggestive of gastroparesis can be challenging but should, as in all instances of gastrointestinal symptomatology, begin with an evaluation of glycemic control and a search of alternative explanations for symptoms in the stomach as well as elsewhere throughout the gut. Though it correlates poorly with symptomatology, an accurate assessment of gastric emptying rate is important, if only to rule out those instances of accelerated emptying.
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Abbreviations
- CT:
-
Computed tomography
- DCI:
-
Distal contractile integral
- EGD:
-
Esophagogastro-duodenoscopy
- EndoFLIP® :
-
Endoscopic functional luminal imaging probe
- GERD:
-
Gastroesophageal reflux disease
- HRM:
-
High-resolution manometry
- IRP:
-
Integrated relaxation pressure
- MR:
-
Magnetic resonance
- NSAID:
-
Nonsteroidal anti-inflammatory drug
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Oglat, A., Quigley, E.M.M. (2018). Diagnostic Approach. 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_6
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