Abstract Submission Form

Title:

UNINVESTIGATED DYSPEPSIA IN TYPE 2 DIABETES PATIENTS IN SULTAN SULAIMAN

GENERAL HOSPITAL INDONESIA

Institutional affiliation(s):

Department of Internal Medicine, Sultan Sulaiman General Hospital,

Serdang Bedagai District, Province of North Sumatra, Indonesia

Text of Abstract:

BACKGROUND : Diabetes is a systemic disease that may affect Gastrointestinal (GI) tract, from the
oral cavity and esophagus to the large bowel and anorectal region. GI complications of diabetes seem to
be related to dysfunction of the neurons supplying the enteric nervous system (enteric neuropathy).
Dyspepsia syndrome is one of the common complains. Many patients go undiagnosed and under-treated
because it has not been traditionally associated with diabetes and its complications. Diagnostic evaluation
of dyspepsia patients is crucial. Therefore, the terms uninvestigated dyspepsia and investigated
dyspepsia were conceived. By direct definition, uninvestigated dyspepsia relates to patients with
dyspepsia that have not been further investigated by endoscopy, while investigated dyspepsia refers to
patients with known organic dyspepsia or functional dyspepsia.
OBJECTIVE : The aim of this study is to assess metabolic factors related to dyspepsia in type 2 diabetic
patients with uninvestigated manner.
MATERIALS AND METHODS : A descriptive analytical cross-sectional study to diabetic patients. We
collect all patients data including history of diseases, medications, physical examinations and glycemic
control were reviewed and evaluated. Validated dyspepsia questionnaire was given to diabetic patients.
Data was analysed using descriptive analysis and then proceed with Mann-Whitney U test, Chi-square
method with calculation of odds ratio (OR) and 95% confidence interval (CI).
RESULTS : We found dyspepsia in 55 diabetic patients (63.2%) of a total 87 patients. Male 16 patients
and female 39 patients. Mean age was 56.51 8.69 years, mean duration of diabetes was 12.75 4.19
years, mean HbA1C was 8.83 2.25%. There was a significant difference in duration of diabetes (12,75
4.19 years vs 10.28 3.25 years, P = 0.004) and HbA 1C (8.83 2.24 % vs 6.75 1.58 %, P = 0.000)
between dyspeptic and non dyspeptic patients. Dyspepsia was fewer significantly on those who were in
well controlled than poor controlled diabetes patients (P = 0.000, OR = 0.061, 95% CI (0.018 0.210).
CONCLUSION : Duration of diabetes, HbA 1C and diabetes control seems play an important role in the
event of dyspepsia in diabetes patients.
KEYWORD : uninvestigated dyspepsia, type 2 diabetes
Abstract Categories:

Diabetes Pituitary/Neuroendocrinology

Obesity Reproductive Endocrinology

Thyroid PTH/Bone & Calcium Metabolism

Adrenal Paediatrics

Preferred Abstract Submission Category:

AFES Investigator Award

Oral Presentation

Poster Presentation
Author(s) informations:

1. YULIZAL OK
2. RUDI MAHRUZAR
3. First name Last name
4. First name Last name
5. First name Last name

Address of presenting author:

Author number (see list above): 1

Mailing address: Jalan Karya Kasih Kompleks Bukit Johor Mas Blok P No.2 Medan
Johor, Medan, 20143, Indonesia

Email address: yulizal.tech@gmail.com, yulizal_tech@yahoo.com,

dryulizal@yahoo.com

Office Phone no: 62617940735 Handphone no: 628126540159

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