| Prevalence of gastroparesis in type 1 diabetes mellitus and its relationship to dyspeptic symptoms. | |
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MedLine Citation:
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PMID: 20922192 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND AND AIM: Gastroparesis and/or dyspeptic symptoms occur in around 50% of type 1 diabetic patients. The aim of our study was to evaluate the prevalence of gastroparesis in patients with type 1 diabetes using 13C-octanoic acid breath test (13C-OBT) and the relationship between dyspeptic symptoms and gastric emptying. METHODS Gastric emptying of solids was evaluated prospectively in euglycemic conditions in 69 type 1 diabetic patients (male/female: 36/33; mean age 49.5 +/- 14.2 years; mean duration of diabetes 20.4 +/- 8.2 years) and 40 healthy volunteers (male/female 17/23; mean age 34.3 +/- 16 years) using 13C-OBT. Dyspeptic symptoms, autonomic nerve function and Helicobacter pylori (H. pylori) status were assessed. RESULTS: Solid gastric emptying was slower in diabetic patients (T1/2=125.36 +/- 31.5min) than in healthy subjects (T1/2=88.5 +/- 27.3 min) (p<0.05). Gastric emptying was slower in diabetic female compared to diabetic male patients (p<0.05). Body mass index (BMI) was the only independent predictor for delayed solid gastric emptying in a logistic regression model testing HbA1c, BMI, age, diabetes duration, H. pylori status, peripheral neuropathy, retinopathy, nephropathy, and autonomic neuropathy. Abdominal bloating and upper abdominal pain were associated with delayed gastric emptying. CONCLUSIONS: We found that 33.7% of type 1 diabetic patients had delayed gastric emptying that correlated with female gender, increased BMI, abdominal bloating and upper abdominal pain. |
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Authors:
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Catalin Sfarti; Anca Trifan; Catalin Hutanasu; Camelia Cojocariu; Ana-Maria Singeap; Carol Stanciu |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of gastrointestinal and liver diseases : JGLD Volume: 19 ISSN: 1842-1121 ISO Abbreviation: J Gastrointestin Liver Dis Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-10-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101272825 Medline TA: J Gastrointestin Liver Dis Country: Romania |
Other Details:
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Languages: eng Pagination: 279-84 Citation Subset: IM |
Affiliation:
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University of Medicine and Pharmacy "Gr. T. Popa", University Street no 16,Iasi, Romania; Email: cvsfarti@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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