Severe Vomiting due to Gastroparesis in Diabetic Patient; Esophago-Gastro-Duodenoscopy Findings

Diabetes mellitus is a metabolic disease with a lot of complication. Global statistic shows that 382 million people in the world had diabetes mellitus which most cases is type II diabetes mellitus. Diabetic gastroparesis is one of serious complication of diabetes mellitus. Further studies suggest that diabetes mellitus is associated with up to 75% of gastrointestinal symptoms. Endoscopy gastrointestinal play a role in diagnosis gastroparesis to ruled out gastric obstructions, and also can be the treatment. Gastric emptying scintigraphy is considered the gold standard for diagnosis and quantification of delayed gastric emptying for gastroparesis. The goal of treatment is to reduce symptoms, correct nutrition, and improve quality of life Treatment of gastroparesis includes prokinetic medications, antiemetic medications, and it should also include education support diet and behaviour changes.