Información del artículo
Los resultados de las pruebas diagnósticas utilizadas en el estudio de la neuropatía digestiva de los pacientes con diabetes guardan una escasa correlación tanto con los síntomas como con su respuesta al tratamiento. Por tanto, deberán ser estudiados los pacientes sintomáticos, con el objetivo de diagnosticar (y tratar) las alteraciones digestivas frecuentes. No obstante, no está justificado estudiar a los pacientes que permanecen asintomáticos, ya que la disautonomía digestiva, al contrario que la cardíaca, no tiene valor pronóstico. Además, no hay datos suficientes para afirmar que el tratamiento de la gastroparesia mejore el control glucémico.
Palabras clave:
Diabetes
Neuropatía digestiva
Disautonomía
Gastroparesia
Manifestaciones digestivas
The results of the diagnostic tests used to study gastrointestinal motility disorders in patients with diabetes correlate poorly both with symptoms and with their response to therapy. Thus, to diagnose (and treat) frequent gastrointestinal disorders symptomatic patients should be assessed. However, asymptomatic patients need not be assessed, because the presence of gastrointestinal (unlike cardiac) dysautonomy has no prognostic value. In addition, treatment of gastroparesis has not been provev to improve glycemic control.
Key words:
Diabetes
Gastrointestinal neuropathy
Dysautonomy
Gastroparesis
Gastrointestinal symptoms
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