BMJ  2006;332:276 (4 February), doi:10.1136/bmj.332.7536.276

Practice

Interactive case report

An alcoholic patient who continues to drink: case outcome

Stuart McPherson, specialist registrar1, Colin John Rees, consultant gastroenterologist1

1 Department of Gastroenterology, South Tyneside Healthcare NHS Foundation Trust, South Shields NE34 0PL

Correspondence to: C J Rees Colin.rees@sthct.nhs.uk

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

Four weeks ago (7 January BMJ 2006;332: 33[Free Full Text]) we presented the case of Mr Bond, who has a history of alcoholic cirrhosis and presented with a variceal bleed. He discharged himself four days after admission and went home to stay with his girlfriend (14 January BMJ 2006;332: 98[Free Full Text]). He was stable for a few weeks, but when reviewed in clinic he admitted to continued alcohol consumption. At this time he was strongly advised to work towards complete abstinence and was given advice about the local alcohol services available to him. Mr Bond had not contacted these as he felt that they would not help. Mr Bond was clear that he planned to continue to drink, although aiming for a reduced level. We therefore felt that acamprosate, which can help to reduce alcohol cravings in some patients,1 would not be helpful. Mr . . . [Full text of this article]


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