Repeated Brief Counseling Decreases Recurrence of Alcohol-Related Pancreatitis
Alcohol-related acute pancreatitis commonly recurs, and continued alcohol use is associated with recurrence. Finnish investigators randomized patients hospitalized for alcohol-related acute pancreatitis to either a single 30-minute in-hospital session of brief counseling (n=61) or the same counseling session plus repeated counseling every 6 months in the gastroenterology outpatient clinic (n=59). Subjects were 84% men, and the median age for all participants was 47. Patient characteristics (demographics, alcohol use, and severity of disease) were similar between groups. At 2-year follow-up,
- 23 patients were rehospitalized for abdominal complaints (12% of the repeated intervention group and 26% of the single intervention group) (p=0.038).
- 18 patients developed recurrent acute pancreatitis (8% of the repeated intervention group and 21% of the single intervention group) (p=0.042).
- dependence symptoms decreased significantly in the repeated intervention group, where a trend toward lower consumption was also observed.