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Alcohol and Alcoholism, Vol 34, 148-152, Copyright © 1999 by Medical Council on Alcoholism

ARTICLES

Invited commentary. The alcohol patient and surgery

H Tonnesen
Department of Surgical Gastroenterology, Hvidovre Hospital, University of Copenhagen, DK-2650 Hvidovre, Denmark

Alcohol abusers have a threefold risk of post-operative morbidity after surgery. The most frequent complications are infections, cardiopulmonary insufficiency, and bleeding episodes. Pathogenesis is suppressed immune capacity, subclinical cardiac dysfunction, and haemostatic imbalance. The economic implications of alcohol abuse in surgical patients are tremendous. Interventional studies are required to reduce future increases in post-operative morbidity.
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