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In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis

Although excessive alcohol consumption is by far the most frequent cause of recurrent acute pancreatitis (AP) cases, specific therapy is still not well established to prevent recurrence. Generally, psychological therapy (e.g., brief intervention (BI)) is the cornerstone of cessation programs; howeve...

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Autores principales: Nagy, Rita, Ocskay, Klementina, Váradi, Alex, Papp, Mária, Vitális, Zsuzsanna, Izbéki, Ferenc, Boros, Eszter, Gajdán, László, Szentesi, Andrea, Erőss, Bálint, Hegyi, Péter Jenő, Vincze, Áron, Bajor, Judit, Sarlos, Patricia, Mikó, Alexandra, Márta, Katalin, Pécsi, Dániel, Párniczky, Andrea, Hegyi, Péter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144493/
https://www.ncbi.nlm.nih.gov/pubmed/35631272
http://dx.doi.org/10.3390/nu14102131
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author Nagy, Rita
Ocskay, Klementina
Váradi, Alex
Papp, Mária
Vitális, Zsuzsanna
Izbéki, Ferenc
Boros, Eszter
Gajdán, László
Szentesi, Andrea
Erőss, Bálint
Hegyi, Péter Jenő
Vincze, Áron
Bajor, Judit
Sarlos, Patricia
Mikó, Alexandra
Márta, Katalin
Pécsi, Dániel
Párniczky, Andrea
Hegyi, Péter
author_facet Nagy, Rita
Ocskay, Klementina
Váradi, Alex
Papp, Mária
Vitális, Zsuzsanna
Izbéki, Ferenc
Boros, Eszter
Gajdán, László
Szentesi, Andrea
Erőss, Bálint
Hegyi, Péter Jenő
Vincze, Áron
Bajor, Judit
Sarlos, Patricia
Mikó, Alexandra
Márta, Katalin
Pécsi, Dániel
Párniczky, Andrea
Hegyi, Péter
author_sort Nagy, Rita
collection PubMed
description Although excessive alcohol consumption is by far the most frequent cause of recurrent acute pancreatitis (AP) cases, specific therapy is still not well established to prevent recurrence. Generally, psychological therapy (e.g., brief intervention (BI)) is the cornerstone of cessation programs; however, it is not yet widely used in everyday practice. We conducted a post-hoc analysis of a prospectively collected database. Patients suffering from alcohol-induced AP between 2016 and 2021 received 30 min BI by a physician. Patient-reported alcohol consumption, serum gamma-glutamyl-transferase (GGT) level, and mean corpuscular volume (MCV) of red blood cells were collected on admission and at the 1-month follow-up visit to monitor patients’ drinking habits. Ninety-nine patients with alcohol-induced AP were enrolled in the study (mean age: 50 ± 11, 89% male). A significant decrease was detected both in mean GGT value (294 ± 251 U/L vs. 103 ± 113 U/L, p < 0.001) and in MCV level (93.7 ± 5.3 U/L vs. 92.1 ± 5.1 U/L, p < 0.001) in patients with elevated on-admission GGT levels. Notably, 79% of the patients (78/99) reported alcohol abstinence at the 1-month control visit. Brief intervention is an effective tool to reduce alcohol consumption and to prevent recurrent AP. Longitudinal randomized clinical studies are needed to identify the adequate structure and frequency of BIs in alcohol-induced AP.
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spelling pubmed-91444932022-05-29 In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis Nagy, Rita Ocskay, Klementina Váradi, Alex Papp, Mária Vitális, Zsuzsanna Izbéki, Ferenc Boros, Eszter Gajdán, László Szentesi, Andrea Erőss, Bálint Hegyi, Péter Jenő Vincze, Áron Bajor, Judit Sarlos, Patricia Mikó, Alexandra Márta, Katalin Pécsi, Dániel Párniczky, Andrea Hegyi, Péter Nutrients Article Although excessive alcohol consumption is by far the most frequent cause of recurrent acute pancreatitis (AP) cases, specific therapy is still not well established to prevent recurrence. Generally, psychological therapy (e.g., brief intervention (BI)) is the cornerstone of cessation programs; however, it is not yet widely used in everyday practice. We conducted a post-hoc analysis of a prospectively collected database. Patients suffering from alcohol-induced AP between 2016 and 2021 received 30 min BI by a physician. Patient-reported alcohol consumption, serum gamma-glutamyl-transferase (GGT) level, and mean corpuscular volume (MCV) of red blood cells were collected on admission and at the 1-month follow-up visit to monitor patients’ drinking habits. Ninety-nine patients with alcohol-induced AP were enrolled in the study (mean age: 50 ± 11, 89% male). A significant decrease was detected both in mean GGT value (294 ± 251 U/L vs. 103 ± 113 U/L, p < 0.001) and in MCV level (93.7 ± 5.3 U/L vs. 92.1 ± 5.1 U/L, p < 0.001) in patients with elevated on-admission GGT levels. Notably, 79% of the patients (78/99) reported alcohol abstinence at the 1-month control visit. Brief intervention is an effective tool to reduce alcohol consumption and to prevent recurrent AP. Longitudinal randomized clinical studies are needed to identify the adequate structure and frequency of BIs in alcohol-induced AP. MDPI 2022-05-20 /pmc/articles/PMC9144493/ /pubmed/35631272 http://dx.doi.org/10.3390/nu14102131 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nagy, Rita
Ocskay, Klementina
Váradi, Alex
Papp, Mária
Vitális, Zsuzsanna
Izbéki, Ferenc
Boros, Eszter
Gajdán, László
Szentesi, Andrea
Erőss, Bálint
Hegyi, Péter Jenő
Vincze, Áron
Bajor, Judit
Sarlos, Patricia
Mikó, Alexandra
Márta, Katalin
Pécsi, Dániel
Párniczky, Andrea
Hegyi, Péter
In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title_full In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title_fullStr In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title_full_unstemmed In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title_short In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
title_sort in-hospital patient education markedly reduces alcohol consumption after alcohol-induced acute pancreatitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144493/
https://www.ncbi.nlm.nih.gov/pubmed/35631272
http://dx.doi.org/10.3390/nu14102131
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