Alcohol Abuse And Acute Pancreatitis

by Columbia Surgery on April 24, 2014

pancreas-FOR-BLOGIf I were to ask you what health risks are associated with excessive drinking, what would you say? Cirrhosis of the liver? Heart disease? A weakened immune system? You’d be correct—those are all health risks associated with excessive drinking. But another common though less talked about problem is pancreatitis.

Pancreatitis is a condition in which digestive enzymes that are typically activated in the small intestine instead become active in the pancreas. Pancreatitis can either be chronic (long term) or acute (sudden), and symptoms of acute pancreatitis often include:

  • Severe, steady pain in the upper-middle part of the abdomen that sometimes spreads to the back and shoulders.
  • Low-grade fever
  • Nausea or vomiting
  • Lowered blood pressure
  • Abdominal bloating or tenderness
  • Clammy skin

If not promptly treated, acute pancreatitis can become a serious and even life-threatening condition. Thankfully, with proper treatment most patients are able to recover from acute attacks and avoid serious complications. But even after a patient recovers, additional steps are usually needed to address the root cause of the pancreatitis.

If alcohol abuse is the underlying cause (the other common cause is gallstones), doctors will recommend that the patient completely eliminate alcohol consumption. After an acute attack of pancreatitis, continued alcohol consumption is dangerous, and can lead to future attacks and the development of chronic pancreatitis.

Once pancreatitis becomes chronic, a variety of other health complications – such as diabetes, nutritional deficiencies, and chronic pain – can occur. And, perhaps most significantly, patients with chronic pancreatitis are three times more likely to develop pancreatic cancer at some point in their lives.

While any instance of pancreatitis needs to be addressed by an experienced doctor, patients can play a vital role in their own recovery by taking proactive steps to promote a healthy pancreas.

  • Exercise regularly and lose excess weight – Overweight individuals are more likely to develop gallstones, putting them at a higher risk of developing pancreatitis.
  • Quit smoking – Smoking may increase your risk of developing pancreatitis.
  • Quit drinking alcohol

Check out our website for more information on how to maintain a healthy pancreas:

 

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It’s Oral, Head & Neck Cancer Awareness Week, so we’re revisiting this Q&A with Dr. McConnell, in which he explains why the Fukushima Nuclear Disaster is less likely have long term cancer implications for the surrounding area than did the Chernobyl disaster.

The earthquake and tsunami in Japan that occurred in March 2011 not only took the lives of hundreds of people, but also resulted in a nuclear crisis at the Fukushima nuclear power complex.  This nuclear disaster raises another major health concern: radiation induced thyroid cancer.  Dr. Robert McConnell, a co-director of the New York Thyroid Center, discusses the Fukushima nuclear crisis and associated health risks in Japan and shares his expertise in radiation induced thyroid cancer as well as his experience in treating those affected by the Chernobyl accident in 1986.

 

Why does exposure to radioactive material raise the risk of thyroid cancer?

The thyroid uses iodine to produce essential thyroid hormones.  When the thyroid is functioning properly, it absorbs iodine from food and the environment.  However, when radioactive iodine is released in the environment, the thyroid will easily take this up as well.  Nuclear reactors, like ones involved in the Japanese nuclear disaster, produce large amounts of radioactive iodine and therefore pose the risk of releasing it into the environment.  The thyroid cannot tell the difference between radioactive and nonradioactive iodine, so if it is present in the environment, the thyroid will take it in. Since the thyroid is one of the most radiosensitive organs in the body, it is particularly vulnerable to developing cancers after radiation exposure.  Young children are especially susceptible.  While high controlled doses of radioactive iodine can be used therapeutically to treat an overactive thyroid by intentionally killing the thyroid cells, uncontrolled exposure in lower doses can instead damage the thyroid. This in turn leads to an increased risk of cancer.

 

How are the Chernobyl and Fukushima crises different?

The Japanese authorities were much quicker to respond to the disaster than the authorities responsible for Chernobyl.  Although large amounts of radioactive iodine were released into the environment after the crisis in Japan, the rapid evacuation of residents of Fukushima Prefecture decreased their risk of radiation-induced thyroid cancer.  In addition, those affected by the disaster were instructed to restrict their intake of green leafy vegetables, milk and water from potentially contaminated sources.  Unfortunately, the Soviet citizens affected by Chernobyl could not benefit from a timely evacuation and were not advised to avoid possible sources of contamination.

The type of radiation exposure also separates the two incidents.  After the 1986 Chernobyl disaster, the people of Ukraine and Belarus were exposed to high concentrations of radioactive cesium, strontium and iodine.  The half life of cesium and strontium is 30 years.  This means that in 30 years, half of the original material will have degraded, while the other half remains.  Significant exposure to these materials can affect the environment for hundreds of years.  On the other hand, radioactive iodine, which was released into the environment after the Japanese crisis, has a half life of about 8 days.  Due to this short half life, radioactive iodine is virtually gone after 2 months.

In Japan, the amount of radiation release is estimated to be about 40% of that released at Chernobyl.  This estimation, combined with the various other differences between the two disasters, demonstrates that those affected by Chernobyl experienced greater radiation exposure and risks than those affected by the Japanese crisis.

 

What are the potential long term consequences in the surrounding areas of the Fukushima nuclear power complex as a result of this crisis?

The short half life of radioactive iodine ensures that the immediate affected area will be cleared of the radioactive material in about two months.  It is also unlikely that people in the surrounding areas were impacted; any residual reactive iodine would have quickly degraded and disappeared prior to having a significant effect on the environment in more distant areas.  Half life aside, overall exposure was reduced by the efficient evacuation efforts.  Populations in both immediate and distant locations relative to the nuclear accident have a reduced risk of long-term radiation risk.

 

When someone is diagnosed with thyroid cancer, what is the prognosis?

In most cases, thyroid cancer is treatable.  Papillary thyroid cancer is the most common type of radiation-induced thyroid cancer.  Many of these cases are slow to develop and therefore curable.

The New York Thyroid Center is comprised of a multidisciplinary team of experts in endocrinology, surgery, pathology, nuclear medicine and other various disciplines in medicine.  These physicians work together to diagnose each patient and determine the course of treatment.  Treatment options vary and may include surgical removal of the thyroid and removal of lymph nodes if the cancer has spread.  Radioactive iodine may also be used in some cases to destroy remaining thyroid tissue.   According to the center’s co-director, Dr. James Lee, “because thyroid cancer is typically very slow growing, it is usually curable.”  The survival rate of thyroid cancer is 99% at ten years among men under 40 and women under 45 years of age.

Links for further reading:
Columbia University’s Dr. James Lee on how to test your thyroid [VIDEO LINK]

New York Thyroid Center Establishes Unique Thyroid Biopsy Clinic

Thyroid Cancer: My Story

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