DIABETIC ENTEROPATHY
https://doi.org/10.51523/2708-6011.2018-15-3-14
Abstract
Diabetic enteropathy is a rarely diagnosed complication of diabetes mellitus. According to literature sources, most researchers note an association of this complication with the manifestation of diabetic autonomic neuropathy. The main clinical manifestations of diabetic enteropathy are: disrupted peristaltic activity of the small intestine, excessive bacterial growth, diarrhea, and steatorrhea. The article describes a clinical case of diabetic enteropathy in a young patient, which developed 8 years after diabetes mellitus type 1 had been diagnosed.
About the Authors
O. A. Yarmolenko
Gomel State Medical University
Belarus
Belarus
E. G. Malayeva
Gomel State Medical University
Belarus
Belarus
I. A. Khudyakov
Gomel City Clinical Hospital No.3
Belarus
Belarus
M. N. Menshakova
Gomel City Clinical Hospital No.3
Belarus
Belarus
L. A. Kobruseva
Gomel City Clinical Hospital No.3
Belarus
Belarus
References
1. Шапошникова ЮН, Клименко НИ. Гастроэнтерологические осложнения сахарного диабета: современное состояние вопроса. Острые и неотложные состояния в практике врача. 2010;31(2-3):53-59.
2. Погромов АП, Батурова ВЮ. Диабетическая автономная невропатия и органы пищеварения. Фарматека. 2011;218(5):42-45.
3. Hensley GT, Soergel KH. Neuropathologic findings in diabetic diarrhea. Arch Path. 1968;85(6):585-597.
4. Авдеев ВГ. Диабетическая энтеропатия. Фарматека. 2010;(3):46-49.
5. Bansal V, Kalita J, Misra UK. Diabetic neuropathy. Postgrad. Med. J. 2006;82(964):95-100. doi: http://dx.doi.org/10.1136/ pgmj.2005.036137.
6. Филиппов, Ю. Гастроэнтерологические нарушения при диабетической нейропатии. Врач. 2011;(4):96-101.
7. Левин ОС. Диабетическая вегетативная невропатия. Врач. 2011;(8):5-11.
8. Верткин АЛ, Ткачева ОН, Торшхоева ХМ. Диабетическая автономная нейропатия. Междунар. мед. журн. 2005;11(1):34-41.
9. Bowen BD, Aaron AH. Gastric secretion in diabetes mellitus Report of ten diabetic patients who had diarrhea and achlorhydria. Arch. Int. Med. 1926;37(5):674-684. doi:10.1001/archinte.1926. 00120230079005.
10. Dooley CP, Bargen JA, Bellman JL. Diarrhea of diabetes and steatorrhea of pancreatic insufficiency. Mayo Clin. Proc. 1936;11:737-742.
11. Kenneth G Berge MD, Eric E Wollaeger MD, Donald A Scholz MD, E Douglas Rooke MD, Randall G Sprague MD. Steatorrhea complicating diabetes mellitus with neuropathy. Report of cases without apparent external pancreatic insufficiency. Diabetes. 1956;5(1):25-31. doi: https://doi.org/10.2337/diab.5.1.25.
12. García Jódar J, Del Olmo García D, Gallego Rodríguez S, Martínez De Icaya Ortiz De Urbina P. Enteral nutrition for management of diabetic enteropathy: a case report. Endocrinol. Nutr. 2011;58(9):497-505. doi:10.1016/j.endonu.2011.02.017.
13. Thomas H. Diabetes: circulating factors implicated in diabetic enteropathy Nat. Rev. Endocrinol. 2015;12(12):671. doi:10.1038/nrgastro.2015.183.
14. Boland BS, Edelman SV, Wolosin JD. Gastrointestinal complications of diabetes. Endocrinol. Metab. Clin. North Am. 2013;42(4):809-832. doi:10.1016/j.ecl.2013.07.006.
15. Малиновская НА. Поражения пищеварительного тракта при сахарном диабете. Буковинський медичний вiсник. 2010; 14(1):168-172.
16. Cheng CW, Yilmaz ÖH. IGFBP3 and T1D: Systemic Factors in Colonic Stem Cell Function and Diabetic Enteropathy. Cell Stem Cell. 2015;17(4):379-380. doi: 10.1016/j.stem.2015.09.008.
17. Lawrence D Wruble MD, Martin H Kalser MD. Diabetic Steatorrhea: A Distinct Entity Case Reports. Am J Med. 1964;37(1):118-129. doi: https://doi.org/10.1016/0002-9343 (64)90216-5.
18. Shahbazkhani B, Faezi T, Akbari MR, Mohamadnejad M, Sotoudeh M, Rajab A, Tahaghoghi S, Malekzadeh R. Coeliac disease in Iranian type I diabetic patients. Dig Liver Dis. 2004;36(3):191-194. doi:10.1016/j.dld.2003.10.015.
19. Bytzer P, Talley NJ, Hammer J, Young LJ, Jones MP, Horowitz M. GI symptoms in diabetes mellitus are associated with both poor glycemic control and diabetic complications. Am. J. Gastroenterol. 2002;97(3):604-611. doi:10.1111/j.1572-0241.2002.05537.x.
Review
For citations:
Yarmolenko O.A., Malayeva E.G., Khudyakov I.A., Menshakova M.N., Kobruseva L.A. DIABETIC ENTEROPATHY. Health and Ecology Issues. 2018;(3):70-74. (In Russ.) https://doi.org/10.51523/2708-6011.2018-15-3-14
Views: 441
Email this article 