Rai Puja, Madi Mahmoud Y, Dickstein Aaron
Internal Medicine, Tufts Medical Center, Boston, USA.
Gastroenterology, Tufts Medical Center, Boston, USA.
Cureus. 2018 Dec 28;10(12):e3791. doi: 10.7759/cureus.3791.
We describe a case of liraglutide-induced acute gastroparesis in a 52-year-old man with a history of well-controlled type 2 diabetes who presented with symptoms of gastric outlet obstruction. The patient responded markedly to conservative treatment with gastric suctioning, antiemetic and prokinetic therapy, and discontinuation of liraglutide with a resolution of his symptoms. This case highlights the importance of considering drug-induced gastroparesis as an etiology of unexplained upper abdominal pain, nausea, and early satiety, especially in the absence of mechanical obstruction.
我们描述了一例利拉鲁肽诱发的急性胃轻瘫病例，患者为一名52岁男性，有2型糖尿病病史且病情控制良好，现出现胃出口梗阻症状。该患者对胃抽吸、止吐和促动力治疗等保守治疗反应显著，停用利拉鲁肽后症状得以缓解。该病例强调了在出现不明原因的上腹痛、恶心和早饱时，尤其是在没有机械性梗阻的情况下，将药物性胃轻瘫视为病因的重要性。
