A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis

We report a seven-year follow-up of a 43-year-old Hispanic female with severe diabetic gastroparesis (GP) and a 42.5 kg weight loss (45% of body mass), who required feeding jejunostomy tube placement. The patient had an excellent response to a treatment regime directed at increasing stool bulk, enha...

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Detalles Bibliográficos
Autores principales: Jones, J Wesley, Lamont, Katrina L, Stoltenberg, Jennifer N, Brannan, Grace D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448520/
https://www.ncbi.nlm.nih.gov/pubmed/34552840
http://dx.doi.org/10.7759/cureus.18062
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author Jones, J Wesley
Lamont, Katrina L
Stoltenberg, Jennifer N
Brannan, Grace D
author_facet Jones, J Wesley
Lamont, Katrina L
Stoltenberg, Jennifer N
Brannan, Grace D
author_sort Jones, J Wesley
collection PubMed
description We report a seven-year follow-up of a 43-year-old Hispanic female with severe diabetic gastroparesis (GP) and a 42.5 kg weight loss (45% of body mass), who required feeding jejunostomy tube placement. The patient had an excellent response to a treatment regime directed at increasing stool bulk, enhancing gut transit, and mobilizing intestinal gas by using dietary fiber supplements and osmotic laxatives with as needed tap water enemas. Hospital cost savings for this patient exceeded $125,000 annually. This case study suggests that constipation may substantially contribute to GP.
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spelling pubmed-84485202021-09-21 A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis Jones, J Wesley Lamont, Katrina L Stoltenberg, Jennifer N Brannan, Grace D Cureus Endocrinology/Diabetes/Metabolism We report a seven-year follow-up of a 43-year-old Hispanic female with severe diabetic gastroparesis (GP) and a 42.5 kg weight loss (45% of body mass), who required feeding jejunostomy tube placement. The patient had an excellent response to a treatment regime directed at increasing stool bulk, enhancing gut transit, and mobilizing intestinal gas by using dietary fiber supplements and osmotic laxatives with as needed tap water enemas. Hospital cost savings for this patient exceeded $125,000 annually. This case study suggests that constipation may substantially contribute to GP. Cureus 2021-09-17 /pmc/articles/PMC8448520/ /pubmed/34552840 http://dx.doi.org/10.7759/cureus.18062 Text en Copyright © 2021, Jones et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Jones, J Wesley
Lamont, Katrina L
Stoltenberg, Jennifer N
Brannan, Grace D
A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title_full A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title_fullStr A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title_full_unstemmed A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title_short A Low Cost, Novel Treatment of Severe Diabetic Gastroparesis Based on Burkitt’s Dietary Fiber Hypothesis
title_sort low cost, novel treatment of severe diabetic gastroparesis based on burkitt’s dietary fiber hypothesis
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448520/
https://www.ncbi.nlm.nih.gov/pubmed/34552840
http://dx.doi.org/10.7759/cureus.18062
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