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dc.contributor.authorKuo, P.en
dc.contributor.authorRayner, C.en
dc.contributor.authorJones, K.en
dc.contributor.authorHorowitz, M.en
dc.identifier.citationDrugs, 2007; 67(12):1671-1687en
dc.description.abstractDelayed gastric emptying is frequently observed in patients with long-standing type 1 and type 2 diabetes mellitus, and potentially impacts on upper gastrointestinal symptoms, glycaemic control, nutrition and oral drug absorption. The pathogenesis remains unclear and management strategies are currently suboptimal. Therapeutic strategies focus on accelerating gastric emptying, controlling symptoms and improving glycaemic control. The potential adverse effects of hyperglycaemia on gastric emptying and upper gut symptoms indicate the importance of normalising blood glucose if possible. Nutritional and psychological supports are also important, but often neglected. A number of recent pharmacological and non-pharmacological therapies show promise, including gastric electrical stimulation. As with all chronic illnesses, a multidisciplinary approach to management is recommended, but there are few data regarding long-term outcomes.en
dc.description.statementofresponsibilityPaul Kuo; Christopher K Rayner; Karen L Jones; Michael Horowitzen
dc.publisherAdis International Ltden
dc.subjectAnimals; Humans; Gastroparesis; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Dopamine Agonists; Dopamine Antagonists; Serotonin Antagonists; Diet; Electric Stimulation; Endocrinology; Gastric Emptying; Specialization; Serotonin Receptor Agonistsen
dc.titlePathophysiology and management of diabetic gastropathy - A guide for endocrinologistsen
dc.typeJournal articleen
pubs.library.collectionMedicine publicationsen
dc.identifier.orcidRayner, C. [0000-0002-5527-256X]en
dc.identifier.orcidJones, K. [0000-0002-1155-5816]en
dc.identifier.orcidHorowitz, M. [0000-0002-0942-0306]en
Appears in Collections:Medicine publications

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