Early detection and intervention in diabetic gastroparesis: Role of body surface gastric mapping

doi:10.3748/wjg.v30.i45.4836

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Dec 7, 2024 (publication date) through Mar 15, 2026

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Gastroenterol. Dec 7, 2024; 30(45): 4836-4838
Published online Dec 7, 2024. doi: 10.3748/wjg.v30.i45.4836

Early detection and intervention in diabetic gastroparesis: Role of body surface gastric mapping

Hideki Mori

Hideki Mori, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo 1608582, Japan

Author contributions: Mori H wrote this paper.

Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.

Corresponding author: Hideki Mori, MD, PhD, Senior Assistant Professor, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, 2-5-1 Higashigaoka, 35 Shinanomachi, Shinjuku-ku, Tokyo 1608582, Japan. koyamaru2002@yahoo.co.jp

Received: June 15, 2024
Revised: October 5, 2024
Accepted: October 25, 2024
Published online: December 7, 2024
Processing time: 151 Days and 10.1 Hours

Abstract

Diabetic gastrointestinal neuropathy is a diabetes-related complication, associated with a complex interplay of hyperglycemic damage, autoimmune responses, oxidative stress, gastrointestinal hormones, and vascular insufficiency. Patients with diabetes should be monitored and therapeutic intervention introduced to prevent neuropathy due to diabetes prior to “the point of no return”. Determining gastric bioelectrical activity by body surface gastric mapping may be a promising option to monitor diabetic gastrointestinal neuropathy.

Keywords: Gastroparesis; Body surface gastric mapping; Gastric emptying breath test; Diabetes; Electrogastrography

Core Tip: Gastroparesis is a frequent and sometimes life-threatening complication of diabetes, but no appropriate method has been established to evaluate its early onset. The author has high expectations for the future potential of body surface gastric mapping in this area. The article reviews the paper published in the World Journal of Gastroenterology in 2024 and discusses its findings and implications.