Martinho-Grueber, Maude; Kapoglou, Ioannis; Bravo, Francisco; Sarraj, Riad; Benz, Eileen; Restellini, Sophie; Biedermann, Luc; Rogler, Gerhard; Vavricka, Stephan R; Schoepfer, Alain; Maillard, Michel H; Michetti, Pierre; Brunner, Felix; Clair, Carole; Pathe Barry, Mamadou; Pittet, Valérie; von Känel, Roland; Juillerat, Pascal (2023). Alcohol and cannabis consumption in patients with inflammatory bowel disease: prevalence, pattern of consumption and impact on the disease. European journal of gastroenterology & hepatology, 35(1), pp. 21-30. Wolters Kluwer 10.1097/MEG.0000000000002453
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OBJECTIVES OF THE STUDY
There is little guidance regarding the impact of alcohol and cannabis on the clinical course of inflammatory bowel disease. The aim of this study was to assess the prevalence, sociodemographic characteristics and impact of alcohol and cannabis use on the clinical course of the disease.
METHODS
We performed an analysis of prospectively collected data within the Swiss Inflammatory Bowel Disease Cohort Study with yearly follow-ups and substance-specific questionnaires. We analyzed the prevalence of use, the profile of users at risk for addiction and the impact of alcohol and cannabis on the course of the disease.
RESULTS
We collected data of 2828 patients included between 2006 and 2018 and analyzed it according to their completion of specific surveys on alcohol and cannabis use. The prevalence of patient-reported active use was 41.3% for alcohol and 6% for cannabis. Heavy drinkers were over-represented among retired, married smokers receiving mostly aminosalicylates and less immunosuppression. In ulcerative colitis patients, low-to-moderate drinking was associated with less extensive disease. Cannabis users were often students with ileal Crohn's disease.
CONCLUSION
A significant proportion of patients with inflammatory bowel disease consume alcohol or cannabis. Heavy alcohol consumption is most likely in male smokers >50 years, whereas young men with ileal disease rather use cannabis.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Martinho-Grüber, Maude Delphine, Kapoglou, Ioannis, Bravo, Francisco Damian, Sarraj, Riad, Benz, Eileen, Juillerat, Pascal |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1473-5687 |
Publisher: |
Wolters Kluwer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
02 Nov 2022 09:59 |
Last Modified: |
06 Dec 2022 00:15 |
Publisher DOI: |
10.1097/MEG.0000000000002453 |
PubMed ID: |
36317770 |
BORIS DOI: |
10.48350/174413 |
URI: |
https://boris.unibe.ch/id/eprint/174413 |
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