Avtor/Urednik		Kovačič, Primož; Jamar, Breda
Naslov		Gastroparesis in a young diabetic patient
Prevedeni naslov		Gastropareza pri mladi bolnici s sladkorno boleznijo. Prikaz primera
Tip		članek
Vir		Radiol Oncol
Vol. in št.		Letnik 36, št. 2
Leto izdaje		2002
Obseg		str. 91-4
Jezik		eng
Abstrakt		Background. Gastroparesis is defined as a delay in emptying of contents from the stomach and occurs in a variety of conditions, e.g. after vagotomy or in systemic diseases such as diabetes mellitus, scleroderma and amyloidosis. The purpose of this paper is to present the radiologic examination, a simple, reliable and noninvasive method as an alternative to other methods for the assessment of gastric emptying. Case report. A twenty-one years old female was admitted because of suspected autonomic neuropathy. She had insulin dependent diabetes mellitus type 1 for the last ten years. At the time of admission she was complaining of nausea, vomiting weakness and occasional dizziness. A barium study of oesophagus and stomach was performed: oesophagus was dilated and aperistaltic, remnants of food were seen in aperistaltic stomach but no obstruction, causing delayed emptying, was found. Conclusions. Scintigraphy is at the present the standard technique for the assessment of gastric emptying. Ultrasonography, magnetic resonance imaging; electrogastrography, gastroduodenal manometry and emptying of radiopaque pellets are also used for the evaluation of gastric motility in cases of delayed gastric emptying. The role of barium studies remains to be established.
Izvleček		Izhodišča. Gastropareza je upočasnjeno praznjenje želodca in se pojavlja pri različnih bolezenskih stanjih, na primer po vagotomiji ali pri sistemskih boleznih kot so sladkorna bolezen; sklerodermija in amiloidoza. Namen tega članka je predstaviti rentgensko preiskavo, ki je enostavna, zanesljiva in neinvazivna, kot alternativno metodo drugim metodam za oceno praznjenja želodca - prikaz primera. Enaindvajsetletna ženska je bila sprejeta zaradi suma na avtonomno nevropatijo. Zadnjih deset let je imela od insulina odvisno sladkorno bolezen tipa I. Ob sprejemu je opisovala nauzejo, bruhanje, oslabelost in občasne vrtoglavice. Pri rentgenski preiskavi z barijem je bil viden dilatiran, aperistaltičen požiralnik, v aperistaltičnem želodcu so bili ostanki hrane, in nobene strukturne spremembe, ki bi povzročala oviro praznjenja želodca, ni bilo videti. Zaključki. Scintigrafija trenutno velja za standardno preiskavno metodo za oceno praznjenja želodca. Želodčno motoriko pregledujejo še z ultrazvokom, elekrogastrografijo in antroduodenalno manometrijo, praznjenje želodca pa ocenjujejo tudi z magnetno rezonanco in radiopačnimi markerji. Vloga rentgenske preiskave z barijem še ni dokončno razjasnjena.
Deskriptorji		DIABETES MELLITUS GASTROPARESIS ADULT CONTRAST MEDIA BARIUM