ABSTRACT
Objectives To evaluate, in a group of patients with long-standing type 1 diabetes (DM1), an association of dyspepsia symptoms with: changes in the gastroduodenal mucosa, infection by Helicobacter pylori, glycemic control, and psychological and nutritional factors. Subjects and methods A total of 32 patient with DM1 were studied (age: 38 ± 9 years; females: 25; diabetes duration: 22 ± 5 years). All patients answered a standardized questionnaire for the evaluation of gastrointestinal symptoms and underwent upper gastrointestinal endoscopy, with gastric biopsies for the evaluation of Helicobacter pylori infection. The presence of anxiety and depression was evaluated by the HAD scale. Nutritional parameters were BMI, arm and waist circumference, skinfold measurement, and body fat percentage. Results Upper endoscopy detected lesions in the gastric mucosa in 34.4% of the patients, with similar frequency in those with (n = 21) and without dyspepsia (n = 11). The patients with dyspepsia complaints showed greater frequency of depression (60% vs. 0%; p = 0.001), higher values for HbA1c (9.6 ± 1.7 vs. 8.2 ± 1.3%; p = 0.01) and lower values for BMI (24.3 ± 4.1 vs. 27.2 ± 2.6 kg/m2; p = 0.02), body fat percentage (26.6 ± 6.2 vs. 30.8 ± 7.7%; p = 0.04), and waist circumference (78.7 ± 8 vs. 85.8 ± 8.1 cm; p = 0.02). No association was found between the symptoms and the presence of Helicobacter pylori. Conclusions Dyspepsia symptoms in patients with long-standing DM1 were associated with glycemic control and depression, and they seem to negatively influence the nutritional status of these patients. .
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Diabetes Mellitus, Type 1/complications , Dyspepsia/complications , Helicobacter Infections/complications , Helicobacter pylori/isolation & purification , Mood Disorders/complications , Anxiety/metabolism , Anxiety/microbiology , Biopsy , Diabetes Mellitus, Type 1/metabolism , Diabetes Mellitus, Type 1/microbiology , Duodenum/metabolism , Duodenum/microbiology , Duodenum/pathology , Dyspepsia/microbiology , Gastroscopy , Helicobacter Infections/metabolism , Mood Disorders/microbiology , Nutritional Status , Stomach/metabolism , Stomach/microbiology , Stomach/pathologySubject(s)
Humans , Food Contamination/analysis , Food Microbiology , Food Samples , Cheese/microbiology , Brazil , ColiformsABSTRACT
É relatado um caso de recém-nascido com fístula esofagotraqueal em H. O quadro clínico, o diagnóstico com RX constratado de esôfago, a traqueobroncospia e a esofagoscopia confirmaram o diagnóstico. A fístula esofagotraqueal em H (FTEH) foi dividida através de acesso cirúrgico cervical no lado esquerdo do pescoço devido à posiçäo da fístula, com bom resultado
Subject(s)
Humans , Infant, Newborn , Male , Tracheoesophageal Fistula , Tracheoesophageal Fistula/surgeryABSTRACT
Apresenta-se o caso de uma paciente de 10 anos de idade, sexo feminino, assintomática, encaminhada ao serviço com diagnóstico de dextrocardia. A investigaçäo observou-se o sinal radiológico da cimitarra. A broncoscopia e a broncografia evidenciaram ausência de lobos superior e médio e anormalidades na segmentaçäo brônquica do lobo inferior direito. O cateterismo confirmou a drenagem anômala da veia pulmonar direita para a veia cava inferior, configurando a síndrome da cimitarra