Ethanol-Associated Gastritis

 

Risk factors for mucosal damage:

(1) gastric alcohol concentration > 10% (drinking high-proof liquor straight)

(2) large amount of alcohol

(3) prolonged (binge) drinking

(4) smoking

(5) concurrent ingestion of NSAIDS including aspirin

(6) pre-existing mucosal damage

 

Heavy drinkers may develop subepithelial hemorrhages which may be widespread. Hemorrhage is more common if the patient has a coagulopathy or if the patient is taking an anticoagulant.

 

To avoid ethanol-associated gastritis:

(1) limit intake of high-proof liquor

(2) sip it

(3) mix it with water before drinking

(4) eat something