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Alcoholic chronic pancreatitis and alcoholic liver cirrhosis: differences in alcohol use habits and patterns in Indian subjects.
Pancreas. 2012 Jul; 41(5):703-6.P

Abstract

OBJECTIVES

Alcohol abuse is a risk factor for both liver cirrhosis and chronic pancreatitis. However, less than 15% of heavy drinkers develop these complications. Coexistence of cirrhosis and pancreatitis in the same patient is considered uncommon. We compared drinking patterns and related patient factors in patients with alcoholic liver cirrhosis and alcoholic chronic pancreatitis.

METHODS

A prospective evaluation of 307 patients (all men: 188 with alcoholic liver cirrhosis and 119 with alcoholic chronic pancreatitis) was conducted over a 7-year period using a detailed alcohol assessment proforma. Assessment of demographic features, diet, and other habits like tobacco smoking were recorded.

RESULTS

Patients with alcoholic liver cirrhosis were older. The mean ± SD age in alcoholic liver cirrhosis was 52.4 ± 9.16 years and 47.1 ± 9.78 years (P < 0.001) in alcoholic chronic pancreatitis. The mean ± SD age when they started drinking was similar in both groups (22.8 ± 5.32 years and 24.3 ± 6.94; P > 0.05). The mean ± SD duration of drinking was higher in the cirrhosis group (29.5 ± 10.25 years) than in the pancreatitis group (21.5 ± 9.61 years) (P < 0.001). Fifty-nine percent of cirrhosis and 75% of pancreatitis were heavy tobacco smokers (P = 0.004).

CONCLUSIONS

There are distinct differences in drinking patterns and related patient factors between alcoholic liver cirrhosis and alcoholic chronic pancreatitis, suggesting the need to orient different interventional strategies.

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Authors+Show Affiliations

Veena AB
Departments of Gastroenterology, Amrita Institute of Medical Sciences, Kerala, India.
Rajesh G
No affiliation info available
Varghese J
No affiliation info available
Sundaram KR
No affiliation info available
Balakrishnan V
No affiliation info available

MeSH

AdolescentAdultAge FactorsAge of OnsetAlcohol DrinkingAlcoholismEducational StatusHumansIndiaLiver Cirrhosis, AlcoholicMaleMiddle AgedPancreatitis, AlcoholicPancreatitis, ChronicProspective StudiesSmokingSocial ClassYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22481284

Citation

Veena, Ambadiyil Balan, et al. "Alcoholic Chronic Pancreatitis and Alcoholic Liver Cirrhosis: Differences in Alcohol Use Habits and Patterns in Indian Subjects." Pancreas, vol. 41, no. 5, 2012, pp. 703-6.
Veena AB, Rajesh G, Varghese J, et al. Alcoholic chronic pancreatitis and alcoholic liver cirrhosis: differences in alcohol use habits and patterns in Indian subjects. Pancreas. 2012;41(5):703-6.
Veena, A. B., Rajesh, G., Varghese, J., Sundaram, K. R., & Balakrishnan, V. (2012). Alcoholic chronic pancreatitis and alcoholic liver cirrhosis: differences in alcohol use habits and patterns in Indian subjects. Pancreas, 41(5), 703-6. https://doi.org/10.1097/MPA.0b013e31823b62ca
Veena AB, et al. Alcoholic Chronic Pancreatitis and Alcoholic Liver Cirrhosis: Differences in Alcohol Use Habits and Patterns in Indian Subjects. Pancreas. 2012;41(5):703-6. PubMed PMID: 22481284.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcoholic chronic pancreatitis and alcoholic liver cirrhosis: differences in alcohol use habits and patterns in Indian subjects. AU - Veena,Ambadiyil Balan, AU - Rajesh,Gopalakrishna, AU - Varghese,Joye, AU - Sundaram,Karimassery Ramaiyer, AU - Balakrishnan,Vallath, PY - 2012/4/7/entrez PY - 2012/4/7/pubmed PY - 2012/10/26/medline SP - 703 EP - 6 JF - Pancreas JO - Pancreas VL - 41 IS - 5 N2 - OBJECTIVES: Alcohol abuse is a risk factor for both liver cirrhosis and chronic pancreatitis. However, less than 15% of heavy drinkers develop these complications. Coexistence of cirrhosis and pancreatitis in the same patient is considered uncommon. We compared drinking patterns and related patient factors in patients with alcoholic liver cirrhosis and alcoholic chronic pancreatitis. METHODS: A prospective evaluation of 307 patients (all men: 188 with alcoholic liver cirrhosis and 119 with alcoholic chronic pancreatitis) was conducted over a 7-year period using a detailed alcohol assessment proforma. Assessment of demographic features, diet, and other habits like tobacco smoking were recorded. RESULTS: Patients with alcoholic liver cirrhosis were older. The mean ± SD age in alcoholic liver cirrhosis was 52.4 ± 9.16 years and 47.1 ± 9.78 years (P < 0.001) in alcoholic chronic pancreatitis. The mean ± SD age when they started drinking was similar in both groups (22.8 ± 5.32 years and 24.3 ± 6.94; P > 0.05). The mean ± SD duration of drinking was higher in the cirrhosis group (29.5 ± 10.25 years) than in the pancreatitis group (21.5 ± 9.61 years) (P < 0.001). Fifty-nine percent of cirrhosis and 75% of pancreatitis were heavy tobacco smokers (P = 0.004). CONCLUSIONS: There are distinct differences in drinking patterns and related patient factors between alcoholic liver cirrhosis and alcoholic chronic pancreatitis, suggesting the need to orient different interventional strategies. SN - 1536-4828 UR - https://www.unboundmedicine.com/medline/citation/22481284/Alcoholic_chronic_pancreatitis_and_alcoholic_liver_cirrhosis:_differences_in_alcohol_use_habits_and_patterns_in_Indian_subjects_ L2 - https://doi.org/10.1097/MPA.0b013e31823b62ca DB - PRIME DP - Unbound Medicine ER -