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Diagnostic Approach

  • Ayah Oglat
  • Eamonn M. M. Quigley
Chapter
Part of the Clinical Gastroenterology book series (CG)

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.

Keywords

Diabetes mellitus Gastroesophageal reflux Dysphagia Esophageal dysmotility Esophageal manometry Nausea and vomiting Dyspepsia Gastroparesis Gastric emptying 

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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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Lynda K. and David M. Underwood Center for Digestive Disorders, Division of Gastroenterology and HepatologyHouston Methodist HospitalHoustonUSA

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