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Impact of alcohol and smoking cessation on the course of chronic pancreatitis 戒酒和戒烟对慢性胰腺炎病程的影响
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-25 DOI: 10.1016/j.alcohol.2023.11.006
Philipp Göltl , Katharina Murillo , Onur Simsek , Maximilian Wekerle , Matthias P. Ebert , Alexander Schneider , Michael Hirth

Objectives

Alcohol and nicotine are the two most important risk factors of chronic pancreatitis, and they often occur together. It is still unclear how much they influence the severity of the disease and which of the two addictions should be treated with priority.

Methods

We performed a single-center, retrospective, cross-sectional study in a mixed medicosurgical cohort of 870 patients diagnosed with chronic pancreatitis (CP). We analyzed the impact of the drinking pattern and abstinence for alcohol and nicotine on the course of the disease. Patients with alcoholic CP were subdivided into 1) patients with “life-time drinking history” (LTDH), 2) “current drinkers” with current alcohol abuse without signs of LTDH, and 3) “former drinkers” who stopped or reduced alcohol intake dramatically.

Results

Compared to patients with LTDH, “former drinkers” had a lower rate of exocrine insufficiency (29% vs. 59%) and pseudocysts (33% vs. 49%), were more often relapse-free (37% vs. 5%), and had less abdominal pain. There was no correlation detected between the quantity of alcohol consumption and the severity or progression of the disease. Regarding nicotine, 29 pack-years are the threshold for developing the early stage of CP. Under nicotine abstinence, only slightly more patients were relapse-free (37% vs. 22%). In contrast, the cumulative amount of nicotine consumed correlated with overall disease severity and the development of pseudocysts. The need for surgery was increased, with odds ratios of 1.8, for both alcohol and nicotine abuse.

Conclusions

Alcohol cessation in chronic pancreatitis reduces exocrine insufficiency, abdominal pain, and local complications. The effect of nicotine cessation is less pronounced in our cohort. However, nicotine abuse represents an important factor for the development of the disease.

目的:酒精和尼古丁是慢性胰腺炎的两个最重要的危险因素,它们经常同时发生。目前尚不清楚它们对疾病的严重程度有多大影响,以及两种成瘾中哪一种应该优先治疗。方法:我们对870例诊断为慢性胰腺炎(CP)的患者进行了一项单中心、回顾性、横断面研究。我们分析了饮酒方式以及戒酒和戒烟对病程的影响。酒精性CP患者被细分为:1)有“终生饮酒史”(LTDH)的患者;目前有酒精滥用且无LTDH迹象的“当前饮酒者”;III)“前饮酒者”停止或显著减少酒精摄入量。结果:与LTDH患者相比,“前饮酒者”的外分泌功能不全(29%对59%)和假性囊肿(33%对49%)的发生率较低,更经常无复发(37%对5%),腹痛较少。没有发现饮酒量与疾病的严重程度或进展之间的相关性。在尼古丁方面,29包年是CP早期发展的阈值。在尼古丁戒断的情况下,无复发的患者仅略多(37%对22%)。相反,尼古丁的累积摄入量与总体疾病严重程度和假性囊肿的发展相关。酒精和尼古丁滥用的优势比均为1.8,手术需求增加。结论:慢性胰腺炎患者戒酒可减少外分泌功能不全、腹痛和局部并发症。在我们的队列中,戒烟的效果不那么明显。然而,尼古丁滥用是导致该疾病发展的一个重要因素。
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引用次数: 0
Impulsivity, mental health state and emotion regulation modulate alcohol and marijuana use in a sample of Argentinean citizens 冲动、心理健康状态和情绪调节调节阿根廷公民样本中的酒精和大麻使用。
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-23 DOI: 10.1016/j.alcohol.2023.11.005
Agustín Salguero , Angelina Pilatti , Yanina Michelini , Gabriela Rivarola Montejano , Ricardo Marcos Pautassi

Impulsivity and substance-related outcomes share a complex relationship, as various facets of impulsivity exhibit distinct associations with different drug-related outcomes. This study examines the associations between frequency and quantity of alcohol and marijuana use with impulsivity traits, psychological distress, and the utilization of emotion regulation strategies. A survey asked Argentinian citizens (n = 1507, 356 men) about frequency and quantity of alcohol or marijuana use on each day of a typical week, as well as anxiety, stress, and depression symptoms (DASS-21), impulsivity-like traits (UPPS-P), and emotion regulation strategies (ERQ). The 2-month prevalence of alcohol or marijuana use was 80.1%, and 27.2%, respectively. Premeditation was significantly (p < 0.05) and negatively associated with both frequency and quantity of alcohol consumed, whereas negative and positive urgency were positively and significantly (p < 0.05) associated with quantity of alcohol or marijuana use, respectively. Greater depression symptoms predicted greater quantity of alcohol use, whereas lower emotional suppression or lower cognitive reappraisal were significantly (p < 0.05) associated with a greater frequency of alcohol or marijuana use. Sensation seeking was significantly (p < 0.05) and positively associated with frequency of marijuana use. Individuals with higher levels of impulsivity-like traits, higher levels of depression, or lower use of emotional regulation abilities appeared to be at a higher risk of alcohol or marijuana use. In this sample, the use of alcohol (though not marijuana) seems to fit a negative reinforcement pathway. The study suggests that individuals with risk factors for drug misuse could benefit from interventions aimed at enhancing emotion regulation.

冲动性和药物相关结果有着复杂的关系,因为冲动性的各个方面与不同的药物相关结果表现出明显的关联。本研究探讨了酒精和大麻使用的频率和数量与冲动特征、心理困扰和情绪调节策略的使用之间的关系。一项调查询问了阿根廷公民(n=1507, 356名男性)在一个典型的一周中每天使用酒精或大麻的频率和数量,以及焦虑、压力和抑郁症状(DASS-21)、冲动性特征(UPPS-P)和情绪调节策略(ERQ)。两个月的酒精或大麻使用率分别为80.1%和27.2%。较低的预谋显著(p
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引用次数: 0
22. Interrogating the gut-lung axis during chronic-binge ethanol exposure in mice 22. 小鼠慢性酒精暴暴露期间肠-肺轴的研究
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.027
Anthony Santilli, David Shapiro, Yingchun Han, Kaitlyn Daff, H. Yan, Rachel Scheraga, Mitchell Olman, Gail Cresci
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引用次数: 0
26. No difference in mitochondrial respiration in patients with major burns and abnormal blood alcohol concentration 26. 严重烧伤和血液酒精浓度异常患者的线粒体呼吸无差异
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.031
Sophia Trinh, Jenna Dennis, Olivia Warren, Paige Deville, Cameron Fontenot, Jeffery Hobden, Jeffrey Carter, Patricia Molina, Elizabeth J. Kovacs, Herb Phelan, Alison Smith
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引用次数: 0
17. Exploring the clinical utility of the biomarker GPNMB in the diagnosis of hepatic inflammatory diseases 17. 探讨生物标志物GPNMB在肝脏炎性疾病诊断中的临床应用
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.022
Courtney D. McGinnis, Peter S. Harris, Alexis V. Vest, Claire N. Hart, Danielle K. Berninzoni, Rebecca L. McCullough, Laura M. Saba, Andrew A. Monte, Kristofer S. Fritz
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引用次数: 0
18. Ethanol-induced potentiation of post-burn neuroinflammation correlates with gut microbiota dysbiosis in mice 18. 乙醇诱导的小鼠烧伤后神经炎症增强与肠道菌群失调相关
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.023
Rachel H. McMahan, Lauren E. Giesy, Kevin M. Najarro, Daniel N. Frank, Elizabeth J. Kovacs
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引用次数: 0
9. Activation of mTOR and fasting glucose in mid-life adult at-risk drinkers 9. 中年成年高危饮酒者mTOR和空腹葡萄糖的激活
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.014
Tabitha Haun, Qing Song, Keng-Yu Chang, Mariann Piano, Chueh-Lung Hwang
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引用次数: 0
29. Bacterial membrane vesicles from an alcohol microbiota increase susceptibility to respiratory infection 29. 来自酒精微生物群的细菌膜囊泡增加了呼吸道感染的易感性
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.034
Daniel Villageliú, Kelly Cunningham, Deandra Smith, Daren Knoell, Todd Wyatt, Amanda E. Ramer-Tait, Jeffrey D. Price, Derrick Samuelson
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引用次数: 0
8. Chronic alcohol-fed mice exhibit altered T cell response against Listeria Monocytogenes infection 8. 慢性酒精喂养小鼠对单核细胞增生李斯特菌感染表现出改变的T细胞反应
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.013
Melissa B. Gutierrez, Craig M. Coopersmith, Mandy L. Ford
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引用次数: 0
6. Impact of ethanol intoxication on adipose-derived stem cell paracrine factors in major burn patients 6. 乙醇中毒对烧伤患者脂肪源性干细胞旁分泌因子的影响
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2023-11-21 DOI: 10.1016/j.alcohol.2023.10.011
Jenna Dennis, Olivia Warren, Cameron Fontenot, Jeffrey Carter, Herbert Phelan, Jonathan Schoen, Robert Siggins, Patrick McTernan, Alison A. Smith
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引用次数: 0
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Alcohol
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