A 59-year-old man with diabetes has 3 months of early satiety, nausea, bloating, and vomiting undigested food several hours after meals. A1c is 9.6%.

Question

A 59-year-old man with diabetes has 3 months of early satiety, nausea, bloating, and vomiting undigested food several hours after meals. A1c is 9.6%. Upper endoscopy shows retained food but no obstruction. Which of the following is the most likely diagnosis?

Accepted Answer

Diabetic gastroparesis

Answer

Gastric outlet cancer

Answer

Acute pancreatitis

Answer

Celiac disease

Answer

Viral gastroenteritis

Diabetic gastroparesis — USMLE Step 3 MCQ

A 59-year-old man with diabetes has 3 months of early satiety, nausea, bloating, and vomiting undigested food several hours after meals. A1c is 9.6%. Upper endoscopy shows retained food but no obstruction. Which of the following is the most likely diagnosis?