Dhakal Om Prakash, Dhakal Mona, Bhandari Dhurba
Department of Medicine, Sikkim Manipal Institute of Medical Science, Gangtok, Sikkim, India.
Department of Microbiology, Sikkim Manipal Institute of Medical Sciences and Central Referral Hospital, Gangtok, Sikkim, India.
BMJ Case Rep. 2014 Jun 13;2014:bcr2013200661. doi: 10.1136/bcr-2013-200661.
Gastroparesis is a condition which results in delayed gastric emptying without gastric outflow tract obstruction. Gastrointestinal involvement in diabetes can present in various forms such as oesophageal dysmotility, gastro-oesophageal reflux disease, gastroparesis, enteropathy, non-alcoholic fatty liver disease and glycogenic hepatopathy. Gastroparesis is the most common gastric motility disorder complicating long-standing diabetes. It can sometimes lead to mechanical obstruction as a result of formation of bezoars. Phytobezoars are the most common type of bezoar and are composed of indigestible food, vegetable fibre or seeds. Poor pyloric function and decreased acid formation predisposes phytobezoars formation in patients with diabetic gastroparesis. An 80-year-old patient with diabetes in our presentation developed gastric outlet obstruction due to impaction of phytobezoar over the pylorus.
胃轻瘫是一种导致胃排空延迟但无胃流出道梗阻的病症。糖尿病患者的胃肠道受累可表现为多种形式，如食管运动障碍、胃食管反流病、胃轻瘫、肠病、非酒精性脂肪肝病和糖原性肝病。胃轻瘫是长期糖尿病最常见的胃动力障碍并发症。它有时会因胃石形成而导致机械性梗阻。植物性胃石是最常见的胃石类型，由难消化的食物、植物纤维或种子组成。幽门功能不良和胃酸分泌减少易使糖尿病胃轻瘫患者形成植物性胃石。我们接诊的一名80岁糖尿病患者因植物性胃石嵌顿于幽门导致胃出口梗阻。
