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Alcohol and narcotics use in inflammatory bowel disease
George Mantzouranis1, Eleftheria Fafliora1, Maria Saridi2
1Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece.
Annals of Gastroenterology
|November 3, 2018
Summary
Alcohol consumption may worsen inflammatory bowel disease (IBD) symptoms, with prevalence similar to the general population. Narcotic use is common in IBD patients, linked to disease duration and mental health.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Public Health
Background:
- Inflammatory Bowel Disease (IBD) management requires understanding lifestyle factors.
- Alcohol and narcotic use are potential contributors to IBD symptom exacerbation.
Purpose of the Study:
- To review existing literature on alcohol consumption and narcotic use in non-hospitalized Inflammatory Bowel Disease patients.
- To assess the impact of these substances on IBD symptoms and patient characteristics.
Main Methods:
- Comprehensive literature search of Medline and reference lists.
- Inclusion of English-language studies focusing on alcohol and/or narcotic use in IBD patients.
- Systematic review of 12 studies on alcohol use and 4 studies on narcotic use.
Main Results:
- Alcohol consumption prevalence in IBD patients is similar to the general population.
- Most studies indicate alcohol consumption worsens IBD symptoms.
- Narcotic use is prevalent in IBD patients, associated with longer disease duration and comorbid mental illnesses.
Conclusions:
- Alcohol consumption may negatively impact Inflammatory Bowel Disease symptoms.
- Narcotic analgesia is frequently used by IBD patients, correlating with mental health status.
- Further research is essential to elucidate these associations in IBD care.
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