Clinical manifestations of gastroparesis, masking low colic obstruction (Diagnostic capabilities options of transabdominal ultrasound investigation)
Abstract
The aim of clinical case presentation. To demonstrate a rare case of the low colic obstruction, masking clinical manifestations of gastroparesis.
The main contents. Gastroparesis – is a motor disorder with delayed emptying of the stomach in absence of mechanical obstruction. Causes of gastroparesis include diabetes mellitus and other metabolic disorders (hypothyroidism, hypokalemia, hypercalcemia), effects of drugs (cholinoblockers, opioids, L-dopa, estrogens, progesteron), effect of nicotine, neurologic disorders, intestinal pseudo-obstruction, etc. The example of one of the rare causes of gastroparesis and disorder of evacuation of the stomach is presented: low colic obstruction developed on a background of adenocarcinoma of large intestine that was characterized by untypical clinical pattern with predominance of gastroparesis manifestations.
Conclusion. Transabdominal ultrasound investigation of abdominal cavity is an adequate method of diagnostics of both gastroparesis, and its rare cause – low colic obstruction caused by malignant tumor in rectosigmoid region of the large intestine.
About the Authors
Z. A. LemeshkoRussian Federation
L. I. Tsvetkova
Russian Federation
N. B. Maksimova
Russian Federation
A. G. Natroshvili
Russian Federation
O. A. Sklyanskaya
Russian Federation
Yu. O. Shulpekova
Russian Federation
References
1. Brody F., Vaziri K., Saddler A. et al. Gastric electrical stimulation for gastroparesis // J. Am. Coll. Surg. – 2008. – Vol. 207, N 4. – P. 533–538.
2. Cassilly D.W., Wang Y.R., Friedenberg F.K. et al. Symptoms of gastroparesis: use of the gastroparesis cardinal symptom index in symptomatic patients referred for gastric emptying scintigraphy // Digestion. – 2008. – Vol. 78, N 2–3. – P. 144–151.
3. Christensen C.J., Johnson W.D., Abell T.L. Patients with cyclic vomiting pattern and diabetic gastropathy have more migraines, abnormal electrogastrograms, and gastric emptying // Scand. J. Gastroenterol. – 2008. – Vol. 43, N 9. – P. 1076–1081.
4. De Block C., Vertommen J., Manuel Y. et al. Minimally-invasive and non-invasive continuous glucose monitoring systems: indications, advantages, limitations and clinical aspects // Curr. Diabetes Rev. – 2008. – Vol. 4, N 3. – P. 159–168.
5. Frшkjaer J.B., Ejskjaer N., Rask P. et al. Central neuronal mechanisms of gastric electrical stimulation in diabetic gastroparesis // Scand. J. Gastroenterol. – 2008. – Vol. 43, N 9. – P. 1066–1075.
6. Ghoshal U.C., Paliwal M., Das K. et al. Antroduodenal manometry: experience from a tertiary care center // Indian J. Gastroenterol. – 2008. – Vol. 27, N 2. – P. 53–57.
7. Leung J., Silverman W. Diagnostic and therapeutic approach to pancreatic cancer-associated gastroparesis: literature review and our experience // Dig. Dis. Sci. – 2008. – Vol. 54, N 2. – P. 401–405..
8. McKenna D., Beverstein G., Reichelderfer M. et al. Gastric electrical stimulation is an effective and safe treatment for medically refractory gastroparesis // Surgery. – 2008. – Vol. 144, N 4. – P. 566–574.
9. Sanger G.J. 5-Hydroxytryptamine and the gastrointestinal tract: where next? // Trends Pharmacol. Sci. – 2008. – Vol. 29. – P. 465–471.
10. Shakil A., Church R.J., Rao S.S. Gastrointestinal complications of diabetes // Am. Fam. Physician. – 2008. – Vol. 77, N 12. – P. 1697–1702.
11. Tack J. Prokinetics and fundic relaxants in upper functional GI disorders // Curr. Opin. Pharmacol. – 2008. – Vol. 8, N 6. – P. 690–696.
Review
For citations:
Lemeshko Z.A., Tsvetkova L.I., Maksimova N.B., Natroshvili A.G., Sklyanskaya O.A., Shulpekova Yu.O. Clinical manifestations of gastroparesis, masking low colic obstruction (Diagnostic capabilities options of transabdominal ultrasound investigation). Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2009;19(4):69-74. (In Russ.)
Views:
12
Email this article 
