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2016 ; 7
(3
): 379-86
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English Wikipedia
A Practical Approach to Gastrointestinal Complications of Diabetes
#MMPMID27431262
Maisey A
Diabetes Ther
2016[Sep]; 7
(3
): 379-86
PMID27431262
show ga
Gastrointestinal symptoms occur frequently among people with diabetes mellitus
and are associated with considerable morbidity. Enteropathy, or large bowel
dysfunction, includes constipation, diarrhea and fecal incontinence, and is
particularly disturbing for many patients. The pathogenesis of diabetic
enteropathy is complex, primarily related to gastrointestinal autonomic
dysfunction and etiologically associated with chronic hyperglycemia and diabetes
duration. Since there are many other non-iatrogenic and iatrogenic causes of the
cardinal symptoms of large bowel dysfunction, patients suspected of having
diabetic enteropathy require detailed evaluation. The management of patients with
diabetic enteropathy is challenging, and often requires a multidisciplinary
approach focusing on a combination of symptom mitigation and glycemic control.