Histological changes in diabetic gastroparesis #MMPMID25667021
Farrugia G
Gastroenterol Clin North Am 2015[Mar]; 44 (1): 31-8 PMID25667021show ga
Our understanding of the cellular abnormalities that lead to diabetic gastroparesis has evolved in concert with our increased understanding of the key cell types that regulate gastric physiology. We now know that several key cell types are affected by diabetes, leading to gastroparesis. These changes include abnormalities in the extrinsic innervation to the stomach, loss of key neurotransmitters at the level of the enteric nervous system, smooth muscle abnormalities, loss of interstitial cells of Cajal (ICC) and most recently changes in the macrophage population resident in the muscle wall. This chapter will review our current understanding with a focus on data from human studies when available.