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利拉鲁肽诱发的急性胃轻瘫。

Liraglutide-induced Acute Gastroparesis.

作者信息

Rai Puja, Madi Mahmoud Y, Dickstein Aaron

机构信息

Internal Medicine, Tufts Medical Center, Boston, USA.

Gastroenterology, Tufts Medical Center, Boston, USA.

出版信息

Cureus. 2018 Dec 28;10(12):e3791. doi: 10.7759/cureus.3791.

Abstract

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.

摘要

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。

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