Article Text


Diabetic gastroparesis from autonomic neuropathy: surgical considerations and changes in vagus nerve morphology.
  1. R J Guy,
  2. J L Dawson,
  3. J R Garrett,
  4. J W Laws,
  5. P K Thomas,
  6. A K Sharma,
  7. P J Watkins


    Two cases with intractable vomiting due to gastroparesis, a rare feature of diabetic autonomic neuropathy, are described. Both required surgical treatment. In the first a gastroenterostomy was complicated by reflux gastritis requiring a revision operation; in the second a gastrojejunostomy was successful. Electron microscopic studies of the vagus nerve in one of the cases showed a severe reduction in the density of unmyelinated axons, the surviving axons tending to be of small calibre. The severity of the abnormalities supports the view that diabetic gastroparesis is related to vagal denervation.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.