Gastro-esophageal reflux disease among type-2 diabetes mellitus patients in a rural area

  • Christopher S. Suwita General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Benny Benny General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Daniel R. Mulyono General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Selti Rosani General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Yuni Astria General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Felix F. Widjaja Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia
  • Ari F. Syam Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia
Keywords: diabetes mellitus, gastro-esophageal reflux disease, GERD-questionnaire, rural area
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Abstract

Background: One of the most neglected complications of diabetes mellitus (DM) is gastro-esophageal reflux disease (GERD) which arises from autonomic neuropathy and diabetic gastropathy related to the extent of DM. This study was done to find prevalence of GERD in DM patients with GERD-questionnaire (GERDQ), dietary factor proportion, and their association with other GERD risk factor in rural area.

Methods: This cross sectional study was conducted in Puskesmas Pelaihari from August to September 2013. Subjects with DM aged ≥ 18 were selected consecutively from both newly and previously diagnosed patients with exclusion criteria: pregnancy, in proton-pump inhibitor therapy, and had other metabolic disease(s). DM was diagnosed with ADA criteria, while GERD was diagnosed in patients with score of ≥ 8 of Indonesian GERDQ.

Results: There were 30 subjects (29.7%) with GERD among 101 patients with DM and dietary factors found in GERD patients were spicy diet (90%), high-fat food (90%), irritative beverages (87%), and irritative diet (23%). Only female gender was associated with GERD vs non-GERD in DM patients (87% vs 68%, p = 0.048). Meanwhile, duration of DM (2 [0-13] vs 2 [0-19], p = 0.976), obesity (37% vs 38%, p = 0.897), age (53.2±10.5 vs 54.7 ± 9.3, p = 0.481), and uncontrolled diabetes (90% vs 94%, p = 0.421) were not associated with the GERD among DM patients.

Conclusion: Prevalence of GERD in DM is somewhat high in this study. Female group with DM needs to be screened for GERD as early as possible.

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Author Biographies

Christopher S. Suwita, General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta

MD graduated from Universitas Indonesia year 2012

Internship doctor in Tanah Laut, South Borneo period 2012-2013

Benny Benny, General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta

MD graduated from Universitas Indonesia year 2012

Internship doctor in Tanah Laut, South Borneo period 2012-2013
Daniel R. Mulyono, General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta

MD graduated from Universitas Indonesia year 2012

Internship doctor in Tanah Laut, South Borneo period 2012-2013
Selti Rosani, General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta

MD graduated from Universitas Indonesia year 2012

Internship doctor in Tanah Laut, South Borneo period 2012-2013
Yuni Astria, General Practitioner on Internship Program, Faculty of Medicine, Universitas Indonesia, Jakarta

MD graduated from Universitas Indonesia year 2012

Internship doctor in Tanah Laut, South Borneo period 2012-2013
Felix F. Widjaja, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia
First year resident of Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia
Ari F. Syam, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia
Lecturer staff and senior consultant of gastroenterohepatology Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia

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Published
2015-03-04
How to Cite
1.
Suwita CS, Benny B, Mulyono DR, Rosani S, Astria Y, Widjaja FF, Syam AF. Gastro-esophageal reflux disease among type-2 diabetes mellitus patients in a rural area. Med J Indones [Internet]. 2015Mar.4 [cited 2019Aug.22];24(1):43-9. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1164
Section
Community Research