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糖尿病性胃轻瘫及其新兴治疗选择:文献综述

Diabetic Gastroparesis and its Emerging Therapeutic Options: A Narrative Review of the Literature.

作者信息

Zahid Shiza A, Tated Ritu, Mathew Midhun, Rajkumar Daniel, Karnik Siddhant B, Pramod Roy Akshara, Jacob Fredy P, Baskara Salian Rishabh, Razzaq Waleed, Shivakumar Divya, Khawaja Uzzam Ahmed

机构信息

Department of Internal Medicine, Jinnah Sindh Medical University, Karachi, PAK.

Department of Internal Medicine, Mahatma Gandhi Mission Institute of Medical Sciences, Navi Mumbai, IND.

出版信息

Cureus. 2023 Sep 7;15(9):e44870. doi: 10.7759/cureus.44870. eCollection 2023 Sep.

Abstract

Diabetic gastroparesis (DG) is one of the many complications of diabetes mellitus (DM). Even though this condition surfaces years after uncontrolled disease, it affects the quality of life in several ways and causes significant morbidity. Common symptoms experienced by the patients include postprandial nausea, vomiting, abdominal fullness, and pain. Strict glycemic control is essential to evade the effects of DG. The purpose of this review article is to briefly study the pathophysiology, clinical features, diagnostic modalities, and the effects of DG on different aspects of life. Furthermore, it also focuses on the emerging treatment modalities for DG. Tradipitant and relamorelin are two such treatment options that are gaining noteworthy recognition and are discussed in detail in this review article. As observed through various clinical trials, these drugs help alleviate symptoms like nausea, vomiting, abdominal pain, and bloating in patients suffering from DG, thereby targeting the most common and bothersome symptoms of the disease. This leads to an improvement in the quality of life, making it a reliable treatment option for this disease. But while pharmacological intervention is vital, psychological support and lifestyle changes are equally important and are the reason why a multidisciplinary approach is required for the treatment of DG.

摘要

糖尿病性胃轻瘫(DG)是糖尿病(DM)众多并发症之一。尽管这种病症在疾病未得到控制数年之后才出现,但它会在多个方面影响生活质量并导致显著的发病率。患者常见的症状包括餐后恶心、呕吐、腹部饱胀和疼痛。严格控制血糖对于避免DG的影响至关重要。这篇综述文章的目的是简要研究DG的病理生理学、临床特征、诊断方法以及DG对生活不同方面的影响。此外,它还关注DG新兴的治疗方法。曲哌立吞和瑞莫瑞林就是这样两种正获得显著认可的治疗选择,并在这篇综述文章中进行了详细讨论。通过各种临床试验观察到,这些药物有助于缓解DG患者的恶心、呕吐、腹痛和腹胀等症状,从而针对该疾病最常见且令人困扰的症状。这导致生活质量得到改善,使其成为该疾病可靠的治疗选择。但是,虽然药物干预至关重要,但心理支持和生活方式改变同样重要,这也是治疗DG需要采用多学科方法的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d79/10560130/6116eeac489a/cureus-0015-00000044870-i01.jpg

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