Jones J Wesley, Lamont Katrina L, Stoltenberg Jennifer N, Brannan Grace D
Department of Internal Medicine, Jerry M. Wallace School of Osteopathic Medicine, Campbell University, Buies Creek, USA.
Department of Internal Medicine, McLaren Macomb Hospital, Mt. Clemens, USA.
Cureus. 2021 Sep 17;13(9):e18062. doi: 10.7759/cureus.18062. eCollection 2021 Sep.
We report a seven-year follow-up of a 43-year-old Hispanic female with severe diabetic gastroparesis (GP) and a 42.5 kg weight loss (45% of body mass), who required feeding jejunostomy tube placement. The patient had an excellent response to a treatment regime directed at increasing stool bulk, enhancing gut transit, and mobilizing intestinal gas by using dietary fiber supplements and osmotic laxatives with as needed tap water enemas. Hospital cost savings for this patient exceeded $125,000 annually. This case study suggests that constipation may substantially contribute to GP.
我们报告了一名43岁西班牙裔女性严重糖尿病性胃轻瘫（GP）患者的七年随访情况，该患者体重减轻42.5千克（占体重的45%），需要放置空肠造口喂养管。通过使用膳食纤维补充剂和渗透性泻药，并根据需要进行自来水灌肠，针对增加粪便体积、促进肠道蠕动和排出肠道气体的治疗方案，该患者反应良好。该患者每年节省的医院费用超过12.5万美元。本病例研究表明，便秘可能是导致胃轻瘫的重要因素。
