Información del artículo
En los pacientes con diabetes, y al contrario de lo que ocurre con otras manifestaciones digestivas, la afectación sintomática de la motilidad esofágica es infrecuente. Se presenta el caso de un paciente que ingresó por insuficiencia respiratoria atribuida a una broncoaspiración secundaria a una importante dilatación esofágica.
Palabras clave:
Neuropatía digestiva
Disautonomía
Diabetes mellitus
Esofagoparesia
Alteración de la motilidad esofágica
Megaesófago
Unlike other gastrointestinal symptoms, manifestations of disturbed esophageal motility are uncommon in patients with diabetes. We describe a patient who was admitted for respiratory failure in the context of severe, but otherwise asymptomatic oesophageal paresis.
Key words:
Gastrointestinal neuropathy
Autonomic neuropathy
Diabetes mellitus
Esophagoparesis
Esophageal motor dysfunction
Megaoesophagus
El Texto completo está disponible en PDF
Bibliografía
[1.]
V. Annese, G. Bassoti, N. Caruso, S. De Cosmo, A. Gabbrielli, S. Modoni, et al.
Gastrointestinal motor dysfunction, symptoms, and neuropathy in noninsulindependent (type 2) diabetes mellitus.
J Clin Gastroenterol, 29 (1999), pp. 171-177
[2.]
F. Kinekawa, F. Kubo, K. Matsuda, Y. Fujita, T. Tomita, Y. Uchida, et al.
Relationship between esophageal dysfunction and neuropathy in diabetic patients.
Am J Gastroenterol, 96 (2001), pp. 2006-2032
[3.]
E.K. Grishaw, D.J. Ott, M.G. Frederick, D.W. Gelfand, M.Y. Chen.
Functional abnormalities of the oesophagus: a prospective analysis of radiographic findings relative to age and symptoms.
Am J Roentgenol, 167 (1996), pp. 719-723
[4.]
M. Horowitz, A.F. Maddox, J.M. Wishart, P.E. Harding, B.E. Chatterton, D.J. Sheaman.
Relationships between oesophageal transit and solid and liquid gastric emptying in diabetes mellitus.
Eur J Nucl Med, 18 (1991), pp. 229-234
[5.]
B. Werth, B. Meyer-Wyss, G.A. Spinas, J. Drewe, C. Beglinger.
Non-invasive assessment of gastrointestinal motility disorders in diabetic patients with and without cardiovascular signs of autonomic neuropathy.
Gut, 33 (1992), pp. 1199-1203
[6.]
R.H. Holloway, M.D. Tippett, M. Horowitz, A.F. Maddox, J. Moten, A. Russo.
Relationship between esophageal motility and transit in patients with type I diabetes mellitus.
Am J Gastroenterol, 94 (1999), pp. 3150-3157
[7.]
D. Huppe, M. Tegenthoff, J. Faig, F. Brunke, S. Depka, M. Stuhldreider, et al.
Esophageal dysfunction in diabetes mellitus: is there a relation to clinical manifestation of neuropathy?.
Clin Investig, 70 (1992), pp. 740-747
[8.]
R.J. Frazer, M. Horowitz, A.F. Maddoz, P.E. Harding, B.E. Chatterton, J. Dent.
Hyperglycaemia slows gastric emptying in type 1 (insulin-dependent) diabetes mellitus.
Diabetologia, 33 (1990), pp. 675-680
[9.]
E. Schvarcz, M. Palmer, C.M. Ingberg, J. Aaman, D. Berme.
Increased prevalence of upper gastrointestinal symptoms in longterm type 1 diabetes mellitus.
Diabet Med, 13 (1996), pp. 478-481
Copyright © 2002. Sociedad Española de Endocrinología y Nutrición