Bretzke G
Z Gesamte Inn Med. 1986 May 1;41(9):276-8.
In 50 patients aged between 19 and 78 years was searched for symptoms of a possible enteral neuropathy. 18 patients, 11 of them in need of insulin, spoke intermittently of diarrhoeas, which partly changed with periods of constipation. Altogether 21 patients had a reduced tonus of the anal sphincter in the rectal digital examination, 9 patients were incontinent. The syndrome of neuropathy belongs to the most frequent complications of diabetes mellitus and shows a diverse picture of a disease. The enteropathy in diabetes mellitus in perhaps caused by disturbances of motility. By an aimed establishment of the history and exact performance of the rectal digital examination reference to a diabetic enteropathy can be proved.
对50名年龄在19岁至78岁之间的患者进行了检查,以寻找可能存在的肠神经病变症状。18名患者,其中11名需要胰岛素治疗,间歇性地诉说腹泻,部分腹泻会随便秘期而改变。在直肠指检中,共有21名患者肛门括约肌张力降低,9名患者大小便失禁。神经病变综合征是糖尿病最常见的并发症之一,表现出多样的病症。糖尿病中的肠病可能是由运动功能紊乱引起的。通过有针对性地询问病史和精确进行直肠指检,可以证实存在糖尿病性肠病。