GI Complications of Diabetes

7 Responses | Created by robMore |

Objectives:
Discuss diabetic complications by organ system: esophagus, stomach, small intestine, pancreas, liver, and colon
- Esophagus: esophageal motor dysfunction, gastroesophageal reflux and heartburn
-Stomach:Gastroparesis
-Small Intestine: diabetic enteropathydiarrhea, abdominal upset, bloating
-Pancreas: pancreatic exocrine deficiencysteatorrhoea
-Liver: Fatty liver, cirrhosis
-Colon: enteric neuropathy
-Atherosclerosis of splanchnic vessels abdominal angina, acute mese

  1. 1

    Diabetes is thought to associate with atherosclerosis through which of the following mechanisms?

  2. 2

    The standard for diagnosing either acute mesenteric ischemia or chronic mesenteric ischemia is which?

  3. 3

    Which of the following is NOT a recommended treatment for constipation?

  4. 4

    Large intestine complications of diabetes have been associated with all of the following pathophysiologic mechanisms EXCEPT:

  5. 5

    What is the main mechanism that diabetic enteropathy of the small intestine cause diarrhea?

  6. 6

    What is the most important consequence of small intestine diabetic enteropathy that needs to be managed?

  7. 7

    A T1DM patient presents with a 3 month history of “heartburn”, and the feeling of food coming back up into the mouth after eating. Put your recommendations / treatment in order of use:

  8. 8

    Esophageal manifestations of diabetic autonomic neuropathy are a result of which of the following:

  9. 9

    All patients with DM present with esophageal manifestations as this is the most common complication of DM.

  10. 10

    Which of the following is the best way to treat fatty liver?

  11. 11

    What percentage of patients with nonalcoholic steatohepatitis (NASH) progress to cirrhosis over a 10-20 year period?

  12. 12

    Which of the following is NOT a symptom of advanced pancreatic insufficiency

  13. 13

    What is a benefit of direct pancreatic function tests compared to indirect tests

  14. 14

    Which of the following tests is the gold standard for measuring gastric emptying?

  15. 15

    Which of the following are used to improved gastric motility?

  16. 16

    What percentage of patients with nonalcoholic steatohepatitis (NASH) progress to cirrhosis over a 10-20 year period?

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