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Gastric Electrical Stimulation and the “Eye of the Beholder”

2010; Elsevier BV; Volume: 8; Issue: 11 Linguagem: Inglês

10.1016/j.cgh.2010.07.010

1542-7714

Kenneth L. Koch,

Diabetes Treatment and Management

Caring for patients with diabetes mellitus and gastroparesis can be challenging for gastroenterologists. In the worst scenarios, frequent vomiting leads to dehydration, electrolyte abnormalities, kidney malfunction, abdominal wall pain from retching, frequent visits to the emergency room for intravenous fluids, and multiple hospitalizations.1 Pureed food, jejunostomy tubes, and enteral feeding or total parenteral nutrition may be required to maintain weight.2 Unexpected fluctuations in glucose levels in these patients make accurate insulin dosing very difficult.