Gastroduodenal Bleeding and Perforation in Diabetic Patients with Metabolic Syndrome (The Results of a 15-Year Observation of City Residents with Intensive Urbanization)

  • Marat IMASHEV JSC 'Astana Medical University', Astana, Kazakhstan
  • Roman FURSOV JSC 'Astana Medical University', Astana, Kazakhstan
  • Alexandr FURSOV JSC 'Astana Medical University', Astana, Kazakhstan
  • Bagdat IMASHEVA JSC 'Astana Medical University', Astana, Kazakhstan
  • Roman FURSOV JSC 'Astana Medical University', Astana, Kazakhstan
  • Yerzhan KUSPAEV JSC 'Astana Medical University', Astana, Kazakhstan
  • Timofei KOVALENKO JSC 'Astana Medical University', Astana, Kazakhstan
  • Alishan ISMAILOV JSC 'Astana Medical University', Astana, Kazakhstan
  • Aigul ABDULDAYEVA JSC 'Astana Medical University', Astana, Kazakhstan
  • Irina VOLCHKOVA JSC 'Astana Medical University', Astana, Kazakhstan
Keywords: Metabolic syndrome; Gastroduodenal bleeding; Diabetes mellitus

Abstract

Abstract Background: The prevalence of bleeding and perforation against the diabetes mellitus, obesity and metabolic syndrome (MetS) is studied not sufficiently. Methods: The period of collecting the material was 15 years (2003-2017). The observation analysis was conducted for the patients at polyclinics observations, by the doctors of first-aid, in the surgical departments of the Astana City, Kazakhstan. The number of first-aid visits to patients, the medical cards of the patients with gastroduodenal perforation (GDP) and gastroduodenal bleeding (GDB) were analyzed. Results: The rate of annual growth of indices of overall morbidity Rgm=1.0%, obesity in combination with diabetes was Ro=1.7%; and morbidity with metabolic syndrome was Rm=3.1%. The diagnosis of GDP was revealed in 0.63 men with MetS for every 100000 urban people. The diagnosis of GDB was registered in 2.12 men for 100000 urban people. The index of the annual growth in patients with MetS had the tendency to the growth (Rms=3.1%). Conclusion: The high medical and social significance of diseases of the digestive system among the adult population in Kazakhstan is determined by the annual increase in the incidence rate and a clear decrease in the quality of life of such patients, which necessitates the search for scientifically based ways to improve medical care for this population.      

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Published
2019-10-04
How to Cite
1.
IMASHEV M, FURSOV R, FURSOV A, IMASHEVA B, FURSOV R, KUSPAEV Y, KOVALENKO T, ISMAILOV A, ABDULDAYEVA A, VOLCHKOVA I. Gastroduodenal Bleeding and Perforation in Diabetic Patients with Metabolic Syndrome (The Results of a 15-Year Observation of City Residents with Intensive Urbanization). Iran J Public Health. 48(10):1786-1793.
Section
Original Article(s)