DOI: https://doi.org/10.26641/2307-0404.2018.3(part1).142378

Some factors that affect the formation of gastroesophageal reflux disease in patients with diabetes mellitus type II in the transcarpathian region.

Y. S. Sirchak, M. P. Stan

Abstract


In 75% of patients with diabetes mellitus (DM) in clinical practice, symptoms of the gastrointestinal tract (GIT) injury can be observed. The purpose of the study: to identify the factors influencing the formation of gastroesophageal reflux disease (GERD) in patients with type II DM in the Transcarpathian region. 76 patients with the combination of type II DM and GERD were examined. All patients were examined according to the general-clinical, anthropometric, laboratory, and instrumental methods. The place of living, as well as the level of education and place of patients’ work was also described. In all patients with type II DM, disease of moderate severity was detected. Endoscopic examination in all patients with type II DM confirmed the diagnosis of GERD. Among the patients, residents of the city prevailed – 48 (63.2%) patients and 28 (36.8%) patients – residents of the village. It has been established that in patients with DM type II, GERD often occurs in patients with higher (47.4%) and secondary education (35.5%), and patients without education account for only 17.1% of the total number of cases. A high percentage of rural residents without regular place of work (42.9%) were observed. In patients with DM type II, living in the Transcarpathian region, GERD is often observed in specialists and officers (educators, bank officers, healthcare workers, accountants), as well public officers. Obesity I and II degrees are more often established in patients living in villages of the Transcarpathian region and with low educational level, and in the city residents – overweight (41.7%) was found more often. Combination of type 2 DM and GERD is more commonly found in patients living in cities of the Transcarpathian region, with higher education who hold management positions, and work in the field of education, health care. Combination of GERD and type II DM in rural areas is often combined with I and II obesity degrees, especially in patients with low education level.

Keywords


gastroesophageal reflux disease; type II diabetes mellitus; risk factors

References


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Tkach SM. [Diagnosis and treatment of acid-dependent pathology in patients with diabetes mellitus]. Clinical endocrinology and endocrine surgery. 2017;3(59):21-27. Russian.

Lee SD, Keum B, Chun H.J., Bak Y-T Gastro­eso­phageal Reflux Disease in Type II Diabetes Mellitus With or Without Peripheral Neuropathy. J. Neuro­gastro­ente­rol. Motil. 2011;17(3):274-278. doi: 10.5056/jnm.2011.17.3.274

Katz PO, Gerson LB, Vela MF. Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am. J. Gastroenterol. 2013;108:308-328. doi: 10.1038/ajg.2012.444


GOST Style Citations


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