Gastrointestinal Complications of Diabetes

• Autores: Brigid S. Boland, Steven V. Edelman, James D. Wolosin
• Localización: Endocrinology and metabolism clinics of North America, ISSN 0889-8529, Vol. 42, Nº. 4, 2013 (Ejemplar dedicado a: Acute and Chronic Complications of Diabetes), págs. 809-832
• Idioma: inglés
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• Resumen

  • The diabetic foot is at high risk for complications because of its role in ambulation. Peripheral neuropathy and peripheral vascular disease can lead to chronic foot ulcers, which are at high risk for infection, in part attributable to areas of high pressure caused by lack of tolerance of the soft tissue and bone and joint deformity. If left untreated, infection and ischemia lead to tissue death, culminating in amputation. Treatment strategies include antibiosis, topical therapies, offloading, debridement, and surgery. A multidisciplinary team approach is necessary in the prevention and treatment of complications of the diabetic foot.