Diabetic Gastroparesis Refractory to Medical Therapy Requiring Gastrojejunostomy: A Case Report from a Resource-Limited Setting

Diabetic gastroparesis is a challenging complication that can become refractory to medical therapy. We report a 36-year-old man with poorly controlled type 2 diabetes who presented with persistent vomiting, early satiety, and 13-kg weight loss over three months. Despite maximal pharmacological therapy and nasojejunal feeding, symptoms persisted. Gastric scintigraphy confirmed delayed gastric emptying with 45% retention at four hours. Following multidisciplinary evaluation, an open gastrojejunostomy was performed, resulting in complete resolution of vomiting, weight gain, and improved glycemic control. This case highlights the value of surgical intervention for refractory diabetic gastroparesis in resource-limited settings.