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Type: Journal article
Title: Proximal gastric motility in critically ill patients with type 2 diabetes mellitus
Author: Nguyen, Q.
Fraser, R.
Bryant, L.
Chapman, M.
Holloway, R.
Citation: World Journal of Gastroenterology, 2007; 13(2):270-275
Publisher: W J G Press
Issue Date: 2007
ISSN: 1007-9327
Statement of
Nam Q Nguyen, Robert J Fraser, Laura K Bryant, Marianne Chapman, Richard H Holloway
Abstract: <h4>Aim</h4>To investigate the proximal gastric motor response to duodenal nutrients in critically ill patients with long-standing type 2 diabetes mellitus.<h4>Methods</h4>Proximal gastric motility was assessed (using a barostat) in 10 critically ill patients with type 2 diabetes mellitus (59 +/- 3 years) during two 60-min duodenal infusions of Ensure (1 and 2 kcal/min), in random order, separated by 2 h fasting. Data were compared with 15 non-diabetic critically ill patients (48 +/- 5 years) and 10 healthy volunteers (28 +/- 3 years).<h4>Results</h4>Baseline proximal gastric volumes were similar between the three groups. In diabetic patients, proximal gastric relaxation during 1 kcal/min nutrient infusion was similar to non-diabetic patients and healthy controls. In contrast, relaxation during 2 kcal/min infusion was initially reduced in diabetic patients (P < 0.05) but increased to a level similar to healthy humans, unlike non-diabetic patients where relaxation was impaired throughout the infusion. Duodenal nutrient stimulation reduced the fundic wave frequency in a dose-dependent fashion in both the critically ill diabetic patients and healthy subjects, but not in critically ill patients without diabetes. Fundic wave frequency in diabetic patients and healthy subjects was greater than in non-diabetic patients.<h4>Conclusion</h4>In patients with diabetes mellitus, proximal gastric motility is less disturbed than non-diabetic patients during critical illness, suggesting that these patients may not be at greater risk of delayed gastric emptying.
Keywords: Duodenum
Diabetes Mellitus, Type 2
Critical Illness
Dietary Sucrose
Blood Glucose
Gastrointestinal Motility
Gastric Emptying
Food, Formulated
Middle Aged
Description: Copyright © 2007 The WJG Press. All rights reserved.
DOI: 10.3748/wjg.v13.i2.270
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