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Biologic Gastric Emptying Time in Diabetic Patients, Using Tc-99m-Labeled Resin-Oatmeal With and Without Metoclopramide

University of Kentucky and Veterans Administration Medical Centers, Lexington, Kentucky

Correspondence: For reprints contact: Peggy A. Domstad, MD, Nuclear Medicine Div., Univ. of Kentucky, Medical Center, Lexington, KY 40536.

ABSTRACT

Biologic gastric emptying time (BGET) was measured in 24 patients with severe diabetes mellitus complicated by vascular damage and peripheral or sensory neuropathy. This population had a BGET of 192 ± 32.9 min (mean ± s.e.m. normal 40–85 min). Patients with diabetic gastroenteropathy had prolongation of BGET to 295 ± 45 (p < 0.05). Metoclopramide significantly shortened BGET in this subgroup to 101 ± 40 min, with return to normal values in eight of the 12 patients given the drug. The Tc-99m-labeled resin-oatmeal test meal used as described in this study provides a reliable measure of BGET and of the response to metoclopramide.

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