Management of severe gastroparesis diabeticorum

Uncontrolled diabetes mellitus due to gastroparesis diabeticorum: treatment with metoclopramide.

Case report A 78-year-old woman with a maturity-onset diabetes of 21 years' duration was admitted to the hospital after a fortnight of severe daily hypoglycaemic episodes. She had lost 30 kg in one year. Gastrointestinal complaints were absent except for one episode of watery diarrhoea on the day before admission. On examination the abdomen was normal. She had postural hypotension and resting t...

Severe scleredema diabeticorum and insulin resistance.

Scleredema, an unusual disorder of the skin, is associated with symmetric induration and thickening of the skin generally on the posterior neck and the upper back.1-4 Scleredema is classified. into two types, scleredema adultorum of Buschke and scleredema diabeticorum.4,5 Scleredema adultorum of Buschke is more commonly diagnosed in children, despite the term adultorum, and is 'usually preceded...

MANAGEMENT OF SEVERE HYPERKALEMIA

Cholangiocarcinoma presenting with severe gastroparesis and pseudoachalasia.

Tumor-associated gastroparesis, though reported in association with various malignancies, is rare in patients with cholangiocarcinoma. We report a 55-year-old woman who presented with dysphagia and recurrent vomiting. Esophagogastroduodenoscopy revealed dilated stomach and excess residue without organic obstruction. 99mTc sulfur colloid solid gastric emptying study, radio-opaque marker gut tran...

Gastroparesis: Current Concepts and Management

Delayed gastric emptying in the absence of mechanical obstruction is referred to as gastroparesis. Symptoms that are often attributed to gastroparesis include postprandial fullness, nausea, and vomiting. Although tests of gastric motor function may aid diagnostic labeling, their contribution to determining the treatment approach is often limited. Although clinical suspicion of gastroparesis war...