Abstract

Refractory Hyperemesis Gravidarum in a Patient with Type 1 Diabetes Treated with Laparoscopically Assisted Feeding Jejunostomy Tube Placement

Highlights

  • Gastroparesis is a complication of longstanding Diabetes Mellitus characterized by delayed gastric emptying

  • Case report: We report a 25-year-old G1P0 with longstanding uncontrolled type 1 diabetes mellitus (HbA1C 10.5%), who presented to our service multiple times with hyperemesis and ketosis

  • Feeding jejunostomy (FJ) should be considered as a viable option for treating women with gastroparesis presenting with intractable Hyperemesis gravidarum (HG)

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Summary

Conclusion

Enteral nutrition via J-tube proved to be a safe and effective option to treat intractable HG complicated by diabetic gastroparesis. Most complications were minor and were managed with simple measures.

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