Ameliorating Gastroparesis-associated Malnutrition in a Patient With Type 1 Diabetes by Laparoscopic Subtotal Gastrectomy

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  • 腹腔鏡下胃亜全摘術が奏功した糖尿病性胃不全麻痺の1例

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Abstract

<p>Diabetic gastroparesis (DG) is a serious yet underdiagnosed and undertreated condition, posing a challenge to the management of diabetes patients. The symptoms are non-specific, diagnostic standards are unestablished, and pharmacological approaches often fail. We herein report a 65-year-old female type 1 diabetic patient who suffered from severe malnutrition. She was diagnosed with DG by gastric emptying scintigraphy with egg white labeled with 99mTc-sulfur colloid. The condition was refractory to pharmacological treatments, and the patient kept losing weight. Laparoscopic subtotal gastrectomy was ultimately performed, and the symptoms were relieved, allowing the patient to regain weight. At three years after surgery, she was able to return to her social activities.</p>

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