ASSOCIATION BETWEEN DIABETES MELLITUS AND HEPATIC CIRRHOSIS, JIPIJAPA, MANAB͍, ECUADOR

ASOCIACIÓN ENTRE DIABETES MELLITUS Y CIRROSIS HEṔTICA MANEJO

Abstract

The present investigation was developed with the objective of reviewing the association between diabetes and liver cirrhosis in Ecuadorian patients. A descriptive, longitudinal, retrospective study was carried out. The 64 patients treated at gastroenterology clinics between January 2015 and January 2018 were selected at the Outpatient Hospital of the Social Security of Jipijapa, ManabÍ­, Ecuador, diagnosed with cirrhosis and diabetes mellitus, over 20 years of age. The histories of the Model AS 400 were reviewed and the necessary data were collected, analyzing etiological causes, diagnosis and date of debut of the diabetes, death or diagnosis of hepatocarcinoma. For the statistical analysis, the frequency table was used in the software SPSS version 22.0 for Windows. Liver cirrhosis was associated with diabetes in 45% of patients and was more frequent among those over 60 years of age and male. According to the time of diagnosis, 34.37% had a diagnosis of diabetes before knowing that they suffered from cirrhosis, while 7.81% had diabetics after cirrhosis. Steatohepatitis due to diabetes mellitus associated with alcoholism was observed as the most frequent cause of cirrhosis (34.48%). 13.79% presented hepatocellular carcinoma and 17.25% of the patients died.