Underutilisation of gastric emptying studies and underrecognition of gastroparesis in people with diabetes treated in a hospital setting

Joanna Y Gong; Dinesh Sivaratnam; Emma Armstrong; Geoffrey S Hebbard; Andrew J Brett; Spiros Fourlanos

doi:10.1111/imj.16221

Underutilisation of gastric emptying studies and underrecognition of gastroparesis in people with diabetes treated in a hospital setting

Intern Med J. 2023 Sep;53(9):1697-1700. doi: 10.1111/imj.16221.

Authors

Joanna Y Gong¹, Dinesh Sivaratnam², Emma Armstrong¹, Geoffrey S Hebbard³, Andrew J Brett^{3

4}, Spiros Fourlanos^{1

5}

Affiliations

¹ Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
² Department of Nuclear Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
³ Department of Gastroenterology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
⁴ Department of General Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
⁵ Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia.

PMID: 37743237
DOI: 10.1111/imj.16221

Abstract

Delayed gastric emptying occurs in up to 30% of patients with long-standing diabetes and causes significant morbidity. We performed a retrospective cohort study of 341 patients who had participated in a gastric emptying study from 2018 to 2021 in a large teaching hospital. Given the expected prevalence of gastroparesis in people with diabetes, there were fewer studies than anticipated, which could lead to gastroparesis underrecognition.

Keywords: complications; diabetes mellitus; diagnosis; gastric emptying study; gastroparesis; scintigraphy.

MeSH terms

Diabetes Mellitus*
Gastric Emptying
Gastroparesis* / epidemiology
Gastroparesis* / etiology
Gastroparesis* / therapy
Hospitals, Teaching
Humans
Retrospective Studies