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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

Small-intestinal dysfunction is a common finding in patients with long-standing diabetes. The most frequent clinical symptoms are abdominal bloating, nausea, diarrheal syndrome, constipation, and abdominal pain. Considering the diversity of clinical scenarios in intestinal dysfunction, detection of the cause of gastrointestinal symptoms is crucial for decreasing morbidity and mortality in diabetic patients. Differential diagnostic procedures demand the taking into consideration of dysmotility, small intestinal infection, celiac disease, inflammatory bowel disease, amyloidosis, intestinal lymphangiectasia, intestinal lymphoma, lactose intolerance, small bowel obstruction, tropical sprue, Whipple’s disease, tumors of the small intestine, angioneurotic edema, exocrine pancreatic insufficiency and bile salt diarrhea. Prior to starting investigations it is necessary to exclude iatrogenic cause of the symptoms, focusing on the drug history. A multidisciplinary approach is necessary for diagnosis and treatment of diabetic patients with symptoms of small-intestine enteropathy.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia

    Agata Ladić & Silvija Čuković-Čavka

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

    Silvija Čuković-Čavka

Authors
  1. Agata Ladić
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  2. Silvija Čuković-Čavka
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Correspondence to Silvija Čuković-Čavka .

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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Ladić, A., Čuković-Čavka, S. (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_10

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  • DOI: https://doi.org/10.1007/978-3-319-75856-5_10

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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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