Drui-Berk M, Drui S, de Laharpe F, Schlienger J L
Sem Hop. 1979;55(5-6):265-8.
Gastroparesis diabeticorum has been isolated by Kassander in 1958. Since that time, 65 well documented cases have been published. Very often the patients are asymptomatic and the disorder is discovered by an occasional X-ray examination of the G-I tract. But, sometimes, the diabetes of these patients becomes brittle and they loose weight; bezoar, gastroplegia and hemorrhages may occur. We report two additional cases with severe undernutrition and bezoar. The gastroparesis may be related to a vagal neuropathie. The treatment is disappointing; metoclopramide gives the best improvement.
1958年卡桑德首次发现糖尿病性胃轻瘫。自那时起,已发表了65例有充分记录的病例。患者常常没有症状,这种病症是在偶尔进行胃肠道X线检查时才被发现的。但有时,这些患者的糖尿病会变得不稳定,体重减轻;可能会出现胃石、胃麻痹和出血。我们报告另外两例严重营养不良和胃石症的病例。胃轻瘫可能与迷走神经病变有关。治疗效果令人失望;胃复安的改善效果最佳。