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The incidence of Diabetes is increasing all over the world. In Brazil according to the Ministery of Health are expected 30,000,000 cases for 2030 meaning almost a 50% raise in incidence. This paper reports a case of a 32 years old type 1 diabetic female patient with Gastroparesis due to the disease. This patient had a severe abdominal pain and vomiting for 3 weeks. She had already diagnosed with diabetic gastroparesis and usually took metoclopramide and omeprazole. The patient underwent a gastroendoscopy revealing a severe alkaline gastritis due to a duodenum-gastric reflux.

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