ASYMPTOMATIC GASTRIC RETENTION IN DIABETICS (GASTROPARESIS DIABETICORUM)

Abstract

Article1 April 1958ASYMPTOMATIC GASTRIC RETENTION IN DIABETICS (GASTROPARESIS DIABETICORUM)PAUL KASSANDER, M.D.PAUL KASSANDER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-4-797 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe incidental discovery of unsuspected and asymptomatic gastric retention in moderately severe diabetics led to a study of this condition. References to gastric retention in diabetes are very scanty in current literature.Motility disturbances of the gastrointestinal tract in general have always been a part of the symptomatology of diabetes mellitus. Constipation and diarrhea, with or without anorexia and nausea, have been well known to accompany diabetes. "Diabetic diarrhea," nocturnal as well as diurnal, remains a severe complication. Marble1 was one of the first to suggest the possibility of a neurogenic origin for this syndrome.Gastric retention, in clinical medicine...Bibliography1. MarbleJoslinRootWhiteMarble AEPHFPA: The treatment of diabetes mellitus, 9th Ed., 1952, Lea & Febiger, Philadelphia, pp. 480-481 and 485. Google Scholar2. Wood MN: Chronic peptic ulcer in ninety-four diabetics, Am. J. Digest. Dis. 14: 1-11, 1947. CrossrefMedlineGoogle Scholar3. Quigley JP: Gastric motility and evacuation, in Peptic ulcer, edited by David T. Sandweiss, 1951, W. B. Saunders Co., Philadelphia, p. 75-81. Google Scholar4. Rundles RW: Diabetic neuropathy, Medicine 24: 111-160, 1945. CrossrefGoogle Scholar5. HodgesRundlesHanelin FJRWJ: Roentgenologic study of small intestine. II. Dysfunction associated with neurologic diseases, Radiology 49: 659-673, 1947. CrossrefMedlineGoogle Scholar6. GoldenLepore RMJ: Syndrome due to deficiency of vitamin B complex, J. A. M. A. 117: 918-923, 1941. CrossrefGoogle Scholar7. Martin MM: Diabetic neuropathy, a clinical study of 150 cases, Brain 76: 594-624, 1953. CrossrefMedlineGoogle Scholar8. Golden R: Diagnostic roentgenology, Vol. 1, 1948, Thomas Nelson, New York, p. 340G. Google Scholar9. MooreChapmanSchultzJones FDWPMDCM: Transdiaphragmatic resection of vagus nerves for peptic ulcer, New England J. Med. 234: 241-251, 1946. CrossrefMedlineGoogle Scholar10. JoslinJoslinRootWhiteMarble EPEPHFPA: Diabetes mellitus, 9th Ed., 1952, Lea & Febiger, Philadelphia, p. 97. Google Scholar11. Katschvon BergmannStaehelin GGR: Handbook of internal medicine, 2nd Ed., 1926, Julius Springer, Berlin, pp. 522-527. Google Scholar12. Schlesinger E: Chronische Gastroparese als Ursache schwerer motorischer Insufficienz bei freiem Pylorus, Mitt. a. d. Grenzgeb. d. med. u. Chir. 32: 30, 1920. Google Scholar13. Boas T: Disease of the stomach, 9th Ed., 1925, Georg Thieme, Leipzig, p. 200. Google Scholar14. GoodmanGilman LA: The pharmacological basis of therapeutics, 1947, The Macmillan Co., New York, pp. 760-761, 860-861. Google Scholar15. KeilinMann DT: Carbonic anhydrase, Biochem. J. 34: 1163-1176, 1940. CrossrefMedlineGoogle Scholar16. Vallee BL: Metabolic role of zinc, J. A. M. A. 162: 1053-1057, 1956. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Manchester, New Hampshire*Presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 11, 1957.From the Medical Service of the Veterans Administration Hospital, Manchester, New Hampshire.Requests for reprints should be addressed to Paul Kassander, M.D., Chief, Medical Service, Veterans Administration Hospital, Smyth Road, Manchester, New Hampshire. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byUpper Gastrointestinal Manifestations of DiabetesGastroparesis with Cannabis Use: A Retrospective Study from the Nationwide Inpatient SampleDigesting the pathogenesis of diabetic gastroparesisGastroparesisA Study on Assessment and Management of Diabetic GastropathyNiche-specific functional heterogeneity of intestinal resident macrophagesEndoscopic Management of GastroparesisGastric Emptying Abnormalities in Diabetes MellitusRelationship of motor mechanisms to gastroparesis symptoms: toward individualized treatmentDay-to-Day Variations in Fasting Plasma Glucose Do Not Influence Gastric Emptying in Subjects With Type 1 DiabetesClinical presentations of gastroparesisNatural history of patients with gastroparesisCellular pathogenesis of gastroparesisDiabetic gastroparesisA vision of the future for gastroparesisStudy on the Mechanisms of Banxia Xiexin Decoction in Treating Diabetic Gastroparesis Based on Network PharmacologyGastrointestinal autonomic neuropathy in diabetesThe Role of Diabetes Mellitus in Diseases of the Gallbladder and Biliary TractGastric Biopsies in GastroparesisGastroparesis: New insights into an old diseaseGastroparesis: New insights into an old diseaseGastroparesis versus dyspepsia by intragastric mea