Forgács S
Med Klin. 1975 Sep 5;70(36):1424-31.
The gastrointestinal complications of diabetes mellitus are the outward forms of the diabetic visceral neuropathy. The diabetic damage of the vagus nerve leads to disturbances of the tonus and the motility resembling to postvagotomy like conditions in the following clinical forms: diabetic dysphagia, diabetic gastroparesis, diabetic diarrhoea, diabetic megacolon, diabetic cholecystomegaly. These are in general late complications of labile diabetes. The mild abdominal symptoms are not in proportion to the severe radiological changes, proper diagnosis may be obtained only by means of roentgenological examinations in most cases.
糖尿病的胃肠道并发症是糖尿病性内脏神经病变的外在表现形式。迷走神经的糖尿病性损害会导致张力和运动功能紊乱,类似于迷走神经切断术后的情况,表现为以下临床形式:糖尿病性吞咽困难、糖尿病性胃轻瘫、糖尿病性腹泻、糖尿病性巨结肠、糖尿病性胆囊增大。这些通常是不稳定型糖尿病的晚期并发症。轻微的腹部症状与严重的放射学改变不成比例,在大多数情况下,只有通过放射学检查才能获得准确诊断。