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Published Online First: 29 April 2008. doi:10.1136/gut.2007.146753
Gut 2008;57:1341-1344
Copyright © 2008 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Leading article

An evidence-based alcohol policy

Nick Sheron1, Noel Olsen2, Ian Gilmore3

1 Southampton General Hospital, Southampton, UK
2 Independent Public Health Consultant, UK
3 Royal College of Physicians, London, UK

Dr N Sheron, Division of Infection Inflammation and Repair, University of Southampton Medical School, Tremona Road, Southampton SO16 6YD, UK; nick.sheron@soton.ac.uk


Revised version received 3 April 2008

Accepted 7 April 2008

The first 150 words of the full text of this article appear below.

In October 2007 the BBC performed a survey of British Society of Gastroenterology (BSG) members in which a number of questions were asked about the changing patterns of alcohol-related disease the BSG was seeing in the UK. Of the 115 responses, only nine members had seen no change in alcohol-related liver disease over the last 10 years; 92% reported a rise, usually large. Recurrent themes were the increase in women presenting with alcoholic liver disease and the younger age of presentation. Nearly three-quarters of responders had seen patients of 25 years or under with alcoholic hepatitis or cirrhosis, and nearly a quarter had patients in their late teens. These depressing findings are in line with the report by the Chief Medical Officer in 2001:

In the last 30 years of the 20th century deaths from liver cirrhosis steadily increased, in people aged 35 to 44 years the death rate went . . . [Full text of this article]


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