Gastrointestinal Radiology

, Volume 3, Issue 1, pp 151–155 | Cite as

The radiologic manifestations of diabetic gastric neuropathy and its differential diagnosis

  • Herbert F. Gramm
  • Karen Reuter
  • Philip Costello
Article

Abstract

The radiologic signs of diabetic gastric neuropathy consist of ineffectual peristalsis, solid gastric residue, elongated sausage-shaped stomach, gastric barium retention, and duodenal bulb atony. This entity is seen in patients with long-term diabetes mellitus under relatively inadequate control with the likelihood of other complications of this disease. The radiologie differential diagnoses include surgical and autovagotomy as well as drug-induced gastric motility disorders. Theories advanced to explain the pathophysiology of this entity are discussed.

Key words

Stomach Diabetic neuropathy Gastric motility disorders 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Zitomer BR, Gramm HF, Kozak GP: Gastric neuropathy in diabetes mellitus: clinical and radiologic observations.Metabolism 17:199–211, 1968Google Scholar
  2. 2.
    Wooten RL, Meriwether TW: Diabetic gastric atony: a clinical study.JAMA 176:1082–1087, 1961Google Scholar
  3. 3.
    Allan TNK, Willson RA, Lee M: Bronchial carcinoma with autovagotomy and bezoar formation.JAMA 237:364–365, 1977Google Scholar
  4. 4.
    Kirks DR, Szemes GC: Autovagotomy and gastric bezoar.Gastroenterology 61:96–98, 1971Google Scholar
  5. 5.
    Howlett HJ, Barber DC, Ward AS, Perez-Avila CA, Duthie HL: Gastric emptying in control subjects and patients with duodenal ulcer before and after vagotomy.Gut 17:542–550, 1976Google Scholar
  6. 6.
    Dotevall G: Gastric emptying in diabetes mellitus.Acta Med Scand 170:423–429, 1961Google Scholar
  7. 7.
    Angervall L, Dotevall G, Lehmann KE: The gastric mucosa in diabetes mellitus; a functional and histopathological study.Acta Med Scand 169:339–349, 1961Google Scholar
  8. 8.
    Thomas PK, Lascelles RG: The pathology of diabetic neuropathy.Q J Med 35:489–509, 1966Google Scholar
  9. 9.
    Winegrad RI: Diabetic neuropathy.N Engl J Med 286:1261–1262, 1972Google Scholar

Copyright information

© Springer-Verlag New York Inc 1978

Authors and Affiliations

  • Herbert F. Gramm
    • 1
  • Karen Reuter
    • 2
  • Philip Costello
    • 1
  1. 1.Department of Diagnostic RadiologyNew England Deaconess HospitalBostonUSA
  2. 2.Department of Diagnostic RadiologyPeter Bent Brigham HospitalBostonUSA

Personalised recommendations