392961

Diabetic Patients with Gastro-Esophageal Reflux Disease: Comparison Between Two Self-Report Questionnaires.

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Internal medicine ·

Abstract

Background: Patients with diabetes mellitus (DM) are more likely to have gastroesophageal reflux disease (GERD), and there is a significant association between the two conditions.  A variety of tools, including endoscopy, pH monitoring, and proton pump inhibitor (PPI) test, are available for the diagnosis of GERD. GERD is very prevalent among the majority of people; thus it is highly appealing to apply low-cost, simple methods for identifying high-risk people who might be suffering from it.   Aim: To assess the diagnostic usefulness of the Carlsson-Dent (CD) questionnaire and the frequency scale for detecting the symptoms of the gastroesophageal reflux disease (FSSG) questionnaire as a self-assessment diagnostic instrument in diabetic patients and its relationship with diabetes complications. Patients and methods: This cross-sectional study included 217 adult diabetic patients; 153 females, 64 males who were enrolled in two Endocrinology clinics; the Cairo University hospitals and Beni-Sweif University hospitals from June 2023 to December 2023. All patients were subjected to both CD and FSSG questionnaires (CDQ & FSSGQ respectively). Relevant clinical and laboratory data were gathered such as body mass index (BMI), diabetes control, other comorbidities, added to abdominal ultrasonography. Results: Using the CD questionnaire, GERD was reported in 66% of the study population versus a prevalence of 53% with the FSSGQ. There was a significant agreement between the two questionnaires: of 81.6%, p <0.0001. The presence of hypertension and liver steatosis were significantly associated with GERD diagnosis by the CDQ (P-value 0.03 and 0.004 respectively) and FSSGQ (P-value 0.01 for both). Additionally, NSAID intake, as well as peripheral neuropathy, were associated with GERD using the CDQ (P-value 0.03 and 0.004 respectively). Dyslipidemia was associated with GERD using the FSSGQ (P-value 0.008). Conclusion: A relatively high incidence of GERD symptoms in diabetic patients was observed. There was a significant agreement between the CD and FSSG questionnaires. Hypertension, liver steatosis, dyslipidemia, peripheral neuropathy, and NSAID intake were associated with GERD in diabetics.

DOI

10.21608/ejmr.2024.268415.1549

Keywords

GERD, DM, FSSG questionnaire, CD questionnaire, Hypertension, dyslipidemia, diabetes, steatosis

Authors

First Name

Ahmed

Last Name

Taha

MiddleName

El-Sayed

Affiliation

Endemic Medicine Department, Faculty of Medicine, Cairo University

Email

a.tahaa85@cu.edu.eg

City

cairo

Orcid

-

First Name

Wael

Last Name

Elsayed

MiddleName

Fathy

Affiliation

Tropical medicine department - Faculty of Medicine - Beni-Suef University

Email

wael_fathy74@yahoo.com

City

cairo

Orcid

-

First Name

Hazem

Last Name

Matar

MiddleName

Samy

Affiliation

Internal Medicine department, Faculty of Medicine, Beni-Suef University, Egypt

Email

dr_hazemsamymatar@med.bsu.edu.eg

City

beni suef

Orcid

-

First Name

Tarek

Last Name

Hassanin

MiddleName

Ibrahim

Affiliation

Specialist, endemic heptogastroenterology department, Ahmed Maher Teaching hospital

Email

tarekibrahrm@gmail.com

City

cairo

Orcid

-

First Name

Lamees

Last Name

Samy

MiddleName

Ahmed

Affiliation

Clinical and Chemical Pathology department - Faculty of Medicine - Cairo University

Email

dr.lamees.samy@hotmail.com

City

cairo

Orcid

-

First Name

Naglaa

Last Name

Elsayed

MiddleName

M.

Affiliation

Internal medicine department Faculty of Medicine, Cairo University

Email

naglaamhd1@yahoo.com

City

Cairo

Orcid

-

First Name

Rasha

Last Name

Abd al aziz

MiddleName

Ahmed

Affiliation

Endemic Medicine Department, Faculty of Medicine, Cairo University

Email

rashaahmed@kasralainy.edu.eg

City

cairo

Orcid

-

First Name

Zeinab

Last Name

Soliman

MiddleName

Abdellatif

Affiliation

Endemic Medicine Department, Faculty of Medicine, Cairo University

Email

zeinab.soliman@kasralainy.edu.eg

City

cairo

Orcid

-

Volume

5

Article Issue

4

Related Issue

51016

Issue Date

2024-10-01

Receive Date

2024-02-06

Publish Date

2024-10-01

Page Start

193

Page End

207

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_392961.html

Detail API

https://ejmr.journals.ekb.eg/service?article_code=392961

Order

392,961

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

Diabetic Patients with Gastro-Esophageal Reflux Disease: Comparison Between Two Self-Report Questionnaires.

Details

Type

Article

Created At

25 Dec 2024