Diabetic Gastrointestinal Neuropathy: Elusive Diagnosis and Difficult Treatment
Patrizio Tatti*, 1, Felice Strollo2, Annabel Barber3
1 Endocrinology and Diabetes Unit – ASL RMH, Roma, Italy
2 Istituto INRCA, Roma, Italy
3 University of Nevada, Las Vegas, USA
Abstract
Diabetic Gastrointestinal Neuropathy is an elusive diagnosis and often overlooked. The affected patients do not connect the symptoms with diabetes and undergo a painstaking and expensive search for other disorders of the digestive tract. Diabetic Gastrointestinal Neuropathy additionally causes a baffling glucose instability that further aggravates the condition. The treatment is difficult. The less severe cases respond to prokinetic treatment, but when the disease is advanced the only available therapy is the insertion of a pacemaker
Keywords: Diabetic gastrointestinal neuropathy, glucose variability, gastrointestinal pacemaker.
Article Information
Article History:
Received Date: 01/8/2011
Revision Received Date: 25/9/2011
Acceptance Date: 11/10/2011
Electronic publication date: 11/11/2011
Collection year: 2011
© Tatti et al.; Licensee Bentham Open.
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (
http: //creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
* Address correspondence to this author at the Diabetes and Endocrinology Unit - ASL RMH, Italy; Tel:+390693273094; Fax:+39063218855;
E-mails: info@patriziotatti.it, tatti0@tin.it
Open Peer Review Details |
Manuscript submitted on 01-8-2011 |
Original Manuscript |
Diabetic Gastrointestinal Neuropathy: Elusive Diagnosis and Difficult Treatment |