UPPER GASTROINTESTINAL ENDOSCOPIC FINDINGS AND HELICOBACTER INFECTION: DIABETIC VERSUS NON-DIABETIC DYSPEPTIC PATIENTS 
IN SULAIMANI CITY

Mohammad Shekhani a and Shaho F. Ahmad b



a Department of Biochemistry, College of Medicine, University of Sulaimani. 
b Kurdistan Board of Medical Specialties Candidate.


Submitted: 24/2/2018; Accepted: 12/8/2018; Published 15/10/2018
ABSTRACT


Background 

Diabetes Mellitus is a chronic lifelong condition that widely affects whole body systems. The gastrointestinal tract is one of these systems that is significantly affected by diabetes mellitus. Infection is common and is sometimes severe among diabetic patients. 


Objectives 

To determine the association between H. pylori infection and diabetes mellitus and to show any difference in upper GI endoscopic findings between diabetic and non-diabetic patients who presented with dyspepsia.


Methods

This study is a retrospective study. Sixty diabetic and 60 non-diabetic patients were enrolled in this study, all presented with dyspeptic symptoms, underwent upper GI endoscopy. H. pylori status was evaluated. Glycemic control of diabetic patients was assessed by HbA1c. Comparison between diabetic and non-diabetic patients done.

Results

The prevalence of H. pylori infection was 81.66% among diabetic patients, and 68.33% among nondiabetic patients and the difference in the occurrence of H. pylori between those 2 groups statistically not significant. The duration of diabetes and level of HbA1c were not related to the prevalence of H. pylori infection. The upper GI endoscopic findings were not significantly different between those two groups.


Conclusion

Our study does reveal that although H. pylori infection is more common among diabetics than nondiabetic patients such difference was not statistically significant. There was no significant difference in upper GI endoscopic findings between diabetic and non-diabetic groups.



KEYWORDS


Diabetes, H. pylori, Endoscopy..