Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 381-386.
증례 : 식도 위장관 ; 위석이 합병된 당뇨병성 위마비 치험 1예 - 증례 보고 - ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Diabetic Gastroparesis Complicated with a Gastric Bezoar )
변기현, 박효진, 염준섭, 김경철, 이상인, 박인서 (Ki Hyun Byun, Hyo Jin Park, Joon Sup Yeom, Kyung Chul Kim, Sang In Lee and In Suh Park)
Abstract
Diabetic gastroparesis is a common gastrointestinal complication which develops in about 20-30% of patients with longstanding diabetes mellitus. Recent studies have shown that erythromycin stimulates gastrointestinal motor activity by binding on motilin receptors of gastrointestinal smooth muscles and that it improves gastric emptying in patients with diabetic gastroparesis. In this respect, we present a 35-year-old patient with diabetic gastroparesis, complicated with a gastric bezoar, who was successfully treated with endoscopic bezoar fragmentation and oral erythromycin for 3 weeks. (Korean J Gastrointest Endosc 18: 381-386, 1998)