BEN HANDELSMAN, M.D.
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To the editor: The recent double-blind, controlled study by Snape and associates (1), which showed the superiority of oral metoclopramide versus placebo in relieving symptoms of gastric stasis in patients with chronic insulin-dependent diabetes, is most welcome, particularly because this application is the indication for which the oral form of the drug was recently released. However, there was no mention of a minimum evaluation, as recommended in a recent letter (2), before diagnosing the delay of gastric emptying as idiopathic (gastroparesis diabeticorum being a diagnosis of exclusion). Unfortunately, no mention was made of anatomic studies (upper gastrointestinal endoscopy or barium
HANDELSMAN B. Metoclopramide and Gastric Stasis. Ann Intern Med. ;97:139. doi: 10.7326/0003-4819-97-1-139_2
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Published: Ann Intern Med. 1982;97(1):139.
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