GASTROPATIA DIABETICA PDF

Helicobacter pylori HP is the most common cause of nonerosive nonspecific gastritis. Gastric and duadenal ulcer both are found to be associated with HP infection. Another consequence of HP infection is that it may progress to chronic atrophic gastritis which is a well recognized risk factor for adenocarcinoma of the stomach. So by extension, HP infection can be accepted as a risk factor for gastric cancer. From this aspect, identification of risk groups is increasingly important.

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Mecanismos e fatores associados aos sintomas gastrointestinais em pacientes com diabetes melito. Foram selecionados os artigos mais atuais e representativos do tema. The most relevant and up-to-date articles on the topic were selected. The complications caused by this disease in the digestive system, such as gastrointestinal symptoms nausea, vomiting, abdominal pain, heartburn, dysphagia, constipation, diarrhea, and fecal incontinence are well known.

The pathogenesis of changes in the gastrointestinal functions in patients with diabetes mellitus is still being investigated at the same time as the role of the enteric nervous system and its neurotransmitters has gained significance. As a consequence of the complications in the digestive system, which damage the enteric nervous system, patients with diabetes mellitus may have specific gastrointestinal motility disorders, some of which may be of great relevance, such as diabetic gastroparesis, constipation, and diarrhea.

Gastrointestinal dysfunction increases the morbidity of diabetes mellitus and worsens the quality of life of diabetic individuals. Diabetes mellitus affects the digestive system over the years.

Because this condition worsens the quality of life of diabetic individuals and leads to complications, attention must be paid to gastrointestinal symptoms when treating patients with diabetes mellitus. Keywords: Diabetes mellitus, digestive signs and symptoms, gastrointestinal motility, etiology, child, adolescent.

A maioria dos estudos demonstra uma variedade de sintomas gastrointestinais em pacientes portadores do DM, embora muitos destes pacientes, particularmente os portadores do DMT1, possam apresentar-se sem sintomas gastrointestinais.

Como a hiperglicemia causa sintomas gastrointestinais no DM? Destaca-se a metformina, do grupo das biguanidas, e as sulfonilureias. Arq Gastroenterol. Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes: tratamento e acompanhamento do diabetes mellitus. Rio de Janeiro: SBD, American Diabetes Association.

Diagnosis and classification of diabetes mellitus. Diabetes Care. Libman IM. Rev Arg Endocrinol Metabol. Incidence and prevalence of diabetes mellitus in the Americas. Rev Panam Salud Publica. An ecological analysis of childhood-onset type 1 diabetes incidence and prevalence in Latin America. Diabet Med. Arq Bras Endocrinol Metab. Autonomic dysfunction and the gastrointestinal tract. Clin Auton Res. Rev Ass Med Brasil.

Chucciara S, Borrelli O. Diabetes and gastrointestinal tract: the intrigue continues. J Pediatr Gastroenterol Nutr. Colonic motor dysfunction in human diabetes is associated with enteric neuronal loss and increased oxidative stress. Neurogastroenterol Motil. Sierra VA. Manifestaciones gastrointestinales de la diabetes mellitus.

Rev Col Gastroenterol. Diabetes melito. Oral hypoglycaemic drugs and gastrointestinal symptoms in diabetes mellitus. Aliment Pharmacol Ther. Increased prevalence of symptoms of gastroesophageal reflux diseases in type 2 diabetics with neuropathy. World J Gastroenterol. Ebert EC. Gastrointestinal complications of diabetes mellitus. Dis Mon. Poor glycaemic control is the major factor associated with increased frequency of gastrointestinal symptoms in patients with diabetes mellitus.

J Pak Med Assoc. Are gastrointestinal symptoms related to diabetes mellitus and glycemic control? Eur J Gastroenterol Hepatol.

Hasler WL. Type 1 diabetes and gastroparesis: diagnosis and treatment. Cur Gastroenterol Rep. Gastrointestinal symptoms and glycemic control in diabetes mellitus: a longitudinal population study.

Diabetes factors associated with gastrointestinal symptoms in patients with type 2 diabetes. Feldman M, Schiller LR. Disorders of gastrointestinal motility associated with diabetes mellitus. Ann Intern Med.

Gastrointestinal symptoms in diabetic patients: lack of association with neuropathy. Am J Gastroenterol. Acid peptic disease in children with type 1 diabetes mellitus: a complicating relationship.

Am J Dis Child. Gastrointestinal symptoms in middle-aged diabetic patients. Scand J Gastroenterol. Prevalence of gastrointestinal symptoms in children and adolescents with type 1 diabetes.

GI symptoms in diabetes mellitus are associated with both poor glycemic control and diabetic complications. Diabetic authonomic neuropathy and cardiovascular risk. Arch Intern Med. Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. Autonomic neuropathy and gastrointestinal motility disorders in children and adolescents with type 1 diabetes mellitus. Digestive symptoms in young individuals: survey among medical students. Camillieri M.

Gastrointestinal problems in diabetes. Endocrinol Metab Clin North Am. The epidemiology of functional gastrointestinal disorders. Eur J Surg Suppl. Cellular pathogenesis of diabetic gastroenteropathy. Minerva Gastroenterol Dietol.

Mediation of hyperglycemia-evoked gastric slow-wave dysrhythmias by endogenous prostaglandins. Chandrasekharan B, Srinivasan S. Diabetes and the enteric nervous system. Elevated levels of interleukin-6 in young adults with type 1 diabetes without clinical evidence of microvascular and macrovascular complications.

Disruption of intestinal motility by a calcium channel-stimulating autoantibody in type 1 diabetes. Autoimmune gastropathy in type 1 diabetic patients with parietal cells antibodies: histological and clinical findings. Definition, diagnosis and classification of diabetes mellitus and its complications: report of a WHO consultation.

Part 1. Diagnosis and classification of diabetes. Geneva: WHO; Relationships of upper gastrointestinal motor and sensory function with glycemic control. Ultrasonographic assessment of gastric motility in diabetic gastroparesis before and after attaining glycemic control. J Gastroenterol. Gain and loss of gastrointestinal symptoms in diabetes mellitus: associations with psychiatric disease, glycemic control, and autonomic neuropathy over 2 years of follow-up.

Delayed gastric emptying and gastric autoimmunity in type 1 diabetes. Idiopathic and diabetic gastroparesis. Curr Treat Options Gastroenterol. Camilleri M. Clinical practice. Diabetic gastroparesis. N Engl J Med.

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