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In-Hospital Patient Education Markedly Reduces Alcohol Consumption after Alcohol-Induced Acute Pancreatitis
Authors:Rita Nagy,Klementina Ocskay,Alex Vá  radi,Má  ria Papp,Zsuzsanna Vitá  lis,Ferenc Izbé  ki,Eszter Boros,Lá  szló   Gajdá  n,Andrea Szentesi,Bá  lint Erő  ss,Pé  ter Jenő   Hegyi,Á  ron Vincze,Judit Bajor,Patricia Sarlos,Alexandra Mikó  ,Katalin Má  rta,Dá  niel Pé  csi,Andrea Pá  rniczky,Pé  ter Hegyi
Abstract: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.
Keywords:brief intervention   acute pancreatitis   recurrence   alcohol   gamma-glutamyl transferase
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