Diabetic Gastric Atony: A Clinical Study

Neurogenic delay in gastric emptying should be suspected in a patient with diabetes mellitus who manifests worsening of diabetic control, unexplained weight loss, vague abdominal complaints, and evidence of diabetic neuropathy elsewhere. In 9 cases here presented gastric atony was proved radiographically and the findings were comparable to those of a vagotomized patient. Since no other cause for the atonic stomach was found except diabetes mellitus, a neuropathy of the vagus nerve was assumed. Treatment with vitamins and parasympathomimetic drugs was unsuccessful. Gastric surgery (pyloroplasty, subtotal gastric resection) in 2 patients was without benefit. Frequent feedings and attempt at good diabetic control with long-acting insulin seemed more rewarding.