Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report

Diabetic gastroparesis represents one of the complications associated with long-standing diabetes that leads to the development of various nutritional conditions that increase the morbidity and mortality of patients. It is characterized by delayed gastric emptying, and consequently, decreased nutrit...

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Main Authors: Vianey Guadalupe Téllez Bolaños, Louis Fernando Robles Fernandes
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2023-05-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1243
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author Vianey Guadalupe Téllez Bolaños
Louis Fernando Robles Fernandes
author_facet Vianey Guadalupe Téllez Bolaños
Louis Fernando Robles Fernandes
author_sort Vianey Guadalupe Téllez Bolaños
collection DOAJ
description Diabetic gastroparesis represents one of the complications associated with long-standing diabetes that leads to the development of various nutritional conditions that increase the morbidity and mortality of patients. It is characterized by delayed gastric emptying, and consequently, decreased nutritional absorption, as well as intolerance to the oral route due to manifestations suggestive of intestinal obstruction due to accumulation of food. Its diagnosis is confirmed by evidence of delayed emptying by scintigraphy and its treatment involves prokinetics, antiemetics, and even surgical procedures. We present the case of a 75-year-old male patient who, after the directed and intentional ruling out of obstructive pathology as an initial suspicion in view of the presented condition, was diagnosed with severe diabetic gastroparesis. Findings of the diagnostic approach implemented in the case are described and a literature review is performed. The presentation of this case is important because it is extremely important to describe the diagnostic tools to be implemented to make a timely confirmatory diagnosis of this condition.
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issn 2221-2434
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publishDate 2023-05-01
publisher Universidad de las Ciencias Médicas de Cienfuegos
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series Revista Finlay
spelling doaj-art-3700950b553440cc96b3491a55f859cd2025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-05-01132235241628Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case ReportVianey Guadalupe Téllez Bolaños0Louis Fernando Robles Fernandes1Instituto Mexicano del Seguro Social. Ciudad de México. México.Instituto Mexicano del Seguro Social. Ciudad de México. México.Diabetic gastroparesis represents one of the complications associated with long-standing diabetes that leads to the development of various nutritional conditions that increase the morbidity and mortality of patients. It is characterized by delayed gastric emptying, and consequently, decreased nutritional absorption, as well as intolerance to the oral route due to manifestations suggestive of intestinal obstruction due to accumulation of food. Its diagnosis is confirmed by evidence of delayed emptying by scintigraphy and its treatment involves prokinetics, antiemetics, and even surgical procedures. We present the case of a 75-year-old male patient who, after the directed and intentional ruling out of obstructive pathology as an initial suspicion in view of the presented condition, was diagnosed with severe diabetic gastroparesis. Findings of the diagnostic approach implemented in the case are described and a literature review is performed. The presentation of this case is important because it is extremely important to describe the diagnostic tools to be implemented to make a timely confirmatory diagnosis of this condition.https://revfinlay.sld.cu/index.php/finlay/article/view/1243gastroparesiadiabetesmorbilidadmortalidad
spellingShingle Vianey Guadalupe Téllez Bolaños
Louis Fernando Robles Fernandes
Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
Revista Finlay
gastroparesia
diabetes
morbilidad
mortalidad
title Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
title_full Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
title_fullStr Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
title_full_unstemmed Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
title_short Severe Diabetic Gastroparesis: Diagnosis by Ruling out of Constitutional Syndrome in an Older Adult: a Case Report
title_sort severe diabetic gastroparesis diagnosis by ruling out of constitutional syndrome in an older adult a case report
topic gastroparesia
diabetes
morbilidad
mortalidad
url https://revfinlay.sld.cu/index.php/finlay/article/view/1243
work_keys_str_mv AT vianeyguadalupetellezbolanos severediabeticgastroparesisdiagnosisbyrulingoutofconstitutionalsyndromeinanolderadultacasereport
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