[Alcohol abuse as a cause of illness in an internal medicine department with emphasis on gastroenterology and hepatology]. 1993

J C Bode
Abteilung Innere Medizin I (Schwerpunkt Gastroenterologie und Endokrinologie), Robert-Bosch-Krankenhaus, Stuttgart.

The percentage and spectrum of alcohol-induced diseases were determined in 200 male and female patients. In 28 percent of the men and 8 percent of the women, inpatient treatment had been necessitated in the first instance by alcohol-induced diseases. In both men and women abusing alcohol, the percentage of younger patients was appreciably higher than in patients who did not abuse alcohol. Among male drinkers, the most common pathologies diagnosed were diseases of the liver (78.6%), the upper gastrointestinal tract, the pancreas (51.7%) and the central nervous system (42%), as well as cardiovascular diseases (23.2%). The majority of male patients abusing alcohol had two or more organic diseases (80%). In 35.4%, three or more different diseases were diagnosed. Among female patients abusing alcohol, the pattern of the various diseases was largely identical with that seen among the male patients. The duration of hospitalisation was appreciably longer in male drinkers (mean +/- SD = 14.1 +/- 10.1 days). Among male drinkers 51.8%, and among female drinkers 68.7%, were also heavy smokers. Of the 144 men in whom alcohol abuse was not certain, 30 were heavy smokers and, in the main, were being treated for cardiac and/or bronchopulmonary diseases. It is highly probable that, owing to the nature of the evaluation employed, the percentages of patients abusing alcohol or nicotine were underestimated. The fact that a high 43% of mainly younger male patients presented with diseases that could be traced back mainly or solely to alcohol or tobacco consumption, together with the multimorbidity and chronicity of the diseases of these patients underscores the urgent need to attach more importance to promoting preventive measures.

UI MeSH Term Description Entries
D008108 Liver Diseases, Alcoholic Liver diseases associated with ALCOHOLISM. It usually refers to the coexistence of two or more subentities, i.e., ALCOHOLIC FATTY LIVER; ALCOHOLIC HEPATITIS; and ALCOHOLIC CIRRHOSIS. Alcoholic Liver Diseases,Alcoholic Liver Disease,Liver Disease, Alcoholic
D008111 Liver Function Tests Blood tests that are used to evaluate how well a patient's liver is working and also to help diagnose liver conditions. Function Test, Liver,Function Tests, Liver,Liver Function Test,Test, Liver Function,Tests, Liver Function
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005260 Female Females
D005767 Gastrointestinal Diseases Diseases in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM. Cholera Infantum,Gastrointestinal Disorders,Functional Gastrointestinal Disorders,Gastrointestinal Disorders, Functional,Disease, Gastrointestinal,Diseases, Gastrointestinal,Functional Gastrointestinal Disorder,Gastrointestinal Disease,Gastrointestinal Disorder,Gastrointestinal Disorder, Functional
D005858 Germany A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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