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左旋多巴-卡比多巴肠凝胶输注治疗帕金森病时出现体重减轻和褥疮性十二指肠溃疡。

Weight loss and decubitus duodenal ulcer in Parkinson's disease treated with levodopa-carbidopa intestinal gel infusion.

作者信息

Martino Tommaso, Melchionda Donato, Tonti Paolo, De Francesco Vincenzo, Lalla Alessandra, Specchio Luigi Maria, Avolio Carlo

机构信息

SC Neurologia Universitaria-AOU Ospedali Riuniti of Foggia, Foggia, Italy.

Gastroenterology Unit-AOU Ospedali Riuniti of Foggia, Foggia, Italy.

出版信息

J Neural Transm (Vienna). 2016 Dec;123(12):1395-1398. doi: 10.1007/s00702-016-1618-2. Epub 2016 Sep 10.

Abstract

Apparently, unexplained weight loss is a common symptom experienced by patients affected by Parkinson's disease, especially in those treated by levodopa-carbidopa infusion gel (LCIG) with a poor control of dyskinesias. Weight loss is considered part of gastrointestinal dysfunction seen in patients affected by Parkinson's disease, along with gastroparesis and reduced bowel peristalsis. In patients treated with LCIG, weight loss needs to be accurately evaluated, because of possible underlying life-threatening adverse events, like duodenum decubitus ulcer.

摘要

显然,不明原因的体重减轻是帕金森病患者常见的症状,尤其是在那些接受左旋多巴-卡比多巴输注凝胶(LCIG)治疗且运动障碍控制不佳的患者中。体重减轻被认为是帕金森病患者出现的胃肠功能障碍的一部分,与胃轻瘫和肠道蠕动减弱并存。在接受LCIG治疗的患者中,由于可能存在危及生命的潜在不良事件,如十二指肠褥疮溃疡,需要对体重减轻进行准确评估。

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