Document Detail


Measurement of transit disorders in different gastrointestinal segments of patients with diabetes mellitus in relation to duration and severity of the disease by use of the metal-detector test.
MedLine Citation:
PMID:  8525655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The existence of gastrointestinal transit disorders in other intestinal segments beside the stomach in Type-1 diabetes mellitus (DM) and occurrence in Type-2 DM and in uremia has yet been confirmed only in few studies. Eleven healthy volunteers, 34 patients with Type-1, 32 patients with Type-2 DM in different stages of their disease and 34 non-diabetic patients with endstage-renal disease were investigated by use of the metal detector test. Patients were divided in three subgroups, depending on the duration of their disease: < 1 year: "Short", 1 - 10 years: "Middle", > 10 years: "Long". For comparison with the metal detector test scintigraphic studies of esophageal and gastric transit were performed in 17 patients and small intestinal transit was studied by use of the H2-lactulose breath test in 20 patients with long-standing DM Type-1. In Type-1 DM there is an increase of gastric (135 +/- 18, p < 0.01; 218 +/- 26, p < 0.0001 vs. 73 +/- 7 min.) and large intestinal transit times (79 +/- 18, P < 0.02; 76 +/- 11, p < 0.04 vs. 40 +/- 5 h) in patients with middle or long standing DM. In Type-2 DM similar transit disturbances occur (gastric emptying, long group: 120 +/- 15 min., p < 0.02; colonic transit, long group: 80 +/- 13 h, p < 0.01). In uremia transit disturbances were only found in patients with chronic ambulatory peritoneal dialysis (colonic transit: 71 +/- 9 h, p < 0.05). In 65% gastric scintigraphy and in 55% of cases the H2-lactulose breath test showed a prolongation of gastric emptying or a prolonged mouth-to-cecum transit. Transit disorders can occur in every stage of DM with preferential involvement of the stomach and the colon. These findings are of clinical relevance, since transit disturbances can result in instable metabolic condition.
Authors:
C Folwaczny; K Hundegger; C Volger; J Sorodoc; M Kühn; K Tatsch; R Landgraf; U Karbach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Zeitschrift für Gastroenterologie     Volume:  33     ISSN:  0044-2771     ISO Abbreviation:  Z Gastroenterol     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-01-24     Completed Date:  1996-01-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0033370     Medline TA:  Z Gastroenterol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  517-26     Citation Subset:  IM    
Affiliation:
Medizinische Klinik, Klinikum Innenstadt, Ludwig-Maximilians Universität München, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Breath Tests
Copper / diagnostic use
Diabetes Mellitus, Type 1 / physiopathology*,  radionuclide imaging
Diabetes Mellitus, Type 2 / physiopathology*,  radionuclide imaging
Electromagnetic Fields
Esophageal Motility Disorders / physiopathology,  radionuclide imaging
Female
Gastric Emptying / physiology
Gastrointestinal Transit / physiology*
Humans
Lactulose / diagnostic use
Male
Middle Aged
Muscle, Smooth / physiopathology
Myoelectric Complex, Migrating / physiology
Prospective Studies
Reference Values
Technetium Tc 99m Sulfur Colloid / diagnostic use
Uremia / physiopathology,  radionuclide imaging
Chemical
Reg. No./Substance:
0/Technetium Tc 99m Sulfur Colloid; 4618-18-2/Lactulose; 7440-50-8/Copper

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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