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Diagnostic Approach

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Gastrointestinal Complications of Diabetes

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

For the most part, the evaluation of upper gastrointestinal symptoms in diabetics should be similar to that in nondiabetics. In the assessment of GERD, however, it seems prudent to pay attention to esophageal motor function given the high prevalence of esophageal dysmotility among diabetics. The assessment of symptoms suggestive of gastroparesis can be challenging but should, as in all instances of gastrointestinal symptomatology, begin with an evaluation of glycemic control and a search of alternative explanations for symptoms in the stomach as well as elsewhere throughout the gut. Though it correlates poorly with symptomatology, an accurate assessment of gastric emptying rate is important, if only to rule out those instances of accelerated emptying.

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Abbreviations

CT:

Computed tomography

DCI:

Distal contractile integral

EGD:

Esophagogastro-duodenoscopy

EndoFLIP® :

Endoscopic functional luminal imaging probe

GERD:

Gastroesophageal reflux disease

HRM:

High-resolution manometry

IRP:

Integrated relaxation pressure

MR:

Magnetic resonance

NSAID:

Nonsteroidal anti-inflammatory drug

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Author information

Authors and Affiliations

  1. Lynda K. and David M. Underwood Center for Digestive Disorders, Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX, USA

    Ayah Oglat & Eamonn M. M. Quigley

Authors
  1. Ayah Oglat
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  2. Eamonn M. M. Quigley
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Corresponding author

Correspondence to Eamonn M. M. Quigley .

Editor information

Editors and Affiliations

  1. Sestre milosrdnice University Hospital Center, University of Zagreb School of Medicine, Zagreb, Croatia

    Marko Duvnjak

  2. Merkur University Hospital, University of Zagreb School of Medicine, Zagreb, Croatia

    Lea Smirčić-Duvnjak

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Oglat, A., Quigley, E.M.M. (2018). Diagnostic Approach. In: Duvnjak, M., Smirčić-Duvnjak, L. (eds) Gastrointestinal Complications of Diabetes . Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-75856-5_6

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  • DOI: https://doi.org/10.1007/978-3-319-75856-5_6

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  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-75855-8

  • Online ISBN: 978-3-319-75856-5

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