Prevalence of helicobacter pyloririsk factors in patients with diabetes mellitus 2 type
DOI:
https://doi.org/10.24144/2415-8127.2018.57.98-104Keywords:
diabetes mellitus type 2, chronic gastritis, helicobacter pylori, risk factors.Abstract
Smoking of cigarettes causes various diseases, including cardiovascular diseases, lung disease and malignant neoplasia. Also, smoking is associated with diseases of the upper gastrointestinal tract. The purpose of the study is to estimate the prevalence of the helicobacter pylori (HP) risk factors in patients with type 2 diabetes mellitus (DM). Materials and methods. We examined 48 patients whose age ranged from 45 to 63 years. All types of patients have DM 2 type. Also, all examined patients had complaints of the digestive system (liver, bloating, acidity, and pain in the epigastrium). All patients undergo fibrogastroduodenoscopy with a target biopsy, determining the degree of HP seeding. Two groups of patients were formed, depending on the presence of the helicobacter pylori. Group I included 18 (37.5%) persons who were HP negative, and the II group consisted of 30 (62.5%) patients– HP positive with type 2 DM. Results. The obtained results indicate the relationship between the degree of HP seeding and the number of cigarettes. Thus, a high degree of seeding (more than 50 bacteria in the field of vision) is observed in 66.7% of patients, who smokes more than 10 cigarettes per day.We also found a significant difference between the degree of HP seeding in group II patients and the amount of alcohol consumed. So, among patients who consumed up to 50 grams of alcohol per week, 28.6% had a high degree of seeding. As for patients who consumed more than 50 grams of alcohol per week, 87.5% of patients showed a high degree of seeding.There is also a significant difference between the degree of seeding in group II patients and the amount of coffee consumed. So, among patients who consumed more than 2 cups of coffee every day, a high degree of seeding is detected in 85.0%. Conclusion.In patients with type 2 DM, a high prevalence of HP (62.5%) is observed. The risk factors for HP infection in patients with type 2 DM are smoking, alcohol and excessive coffee consumption. The connection between the number of cigarettes, the amount of alcohol and caffeine, and the degree of stomach seeding by HP have been observed.
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