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Case Report

Enteral Levodopa Therapy in Advanced Parkinson’s Disease with Gastroparesis

By Anil Venkitachalam MD, DM*, Adriana Lazarescu FRCPC and Oksana Suchowersky MD, FCCMG, FRCPC

Levodopa is almost completely (~98%) absorbed in the distal part of the duodenum and the proximal jejunum. In advanced Parkinson’s disease (PD), transit of L-dopa from the stomach to the duodenum is erratic with delayed gastric emptying time,leading to fluctuations. By administering L-dopa directly into the proximal small intestine, the influence of gastric emptying rate can be negated…

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Movement DisordersMovement Disorders is the leading journal on Parkinson’s disease, neurodegenerative & neurodevelopmental disorders & abnormalities in motor control.

Edited By:
Jose A. Obeso, MD, PhD

Movement Disorders Clinical PracticeMovement Disorders Clinical Practice is an online-only journal committed to publishing high quality peer reviewed articles related to clinical aspects of movement disorders.

Edited By:
Kailash Bhatia, MD, DM, FRCP
Marcelo Merello, MD, PhD

Official journals of the

International Parkinson and Movement Disorder Society

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