ALCOHOL AND THE RISK OF CANCERS OF THE STOMACH AND COLON-RECTUM

被引:43
作者
FRANCESCHI, S
LAVECCHIA, C
机构
[1] Epidemiology Unit, Aviano Cancer Center, Aviano
[2] Istituto di Biometria e Statistica Medica, Università di Milano, and Istituto di Ricerche, Farmacologiche ‘Mario Negri’, Milan
关键词
ALCOHOL; STOMACH CANCER; COLORECTAL CANCER; CASE-CONTROL STUDIES; COHORT STUDIES;
D O I
10.1159/000171463
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Alcohol drinking is strongly related to cancer of the upper digestive tract, but the pattern of risk with alcohol drinking is clearly different for cancer of the stomach and colon-rectum. Ah twelve cohort studies and three-quarters of 40 case-control investigations on the topic weigh against the possibility of a substantial effect of alcohol consumption on the risk of stomach cancer. Evidence is still insufficient to establish whether cancer of the cardiac region of the stomach is related to alcohol intake to any different extent than the rest of the stomach. With reference to colorectal cancer, different types of epidemiological studies are consistent in suggesting some direct relations with alcohol drinking. The association, however, is moderate, and an elevated risk of a factor 2 - or even of a factor 1.5 - for both cancers of the colon and rectum can now be excluded even for the highest levels of alcohol consumption.
引用
收藏
页码:276 / 289
页数:14
相关论文
共 95 条
[1]  
IARC Monogr Eval Carcinog Risks Hum, Alcohol Drinking, Lyon, IARC, 44, (1988)
[2]  
Doll R., Forman D., La Vecchia C., Woutersen R., Alcoholic beverages and cancers of the digestive tract and larynx, Health Issues Related to Alcohol Consumption, pp. 125-166, (1993)
[3]  
Franceschi S., Talamini R., Barra S., Baron A.E., Negri E., Bidoli E., Serraino D., La Vecchia C., Smoking and drinking in relation to cancers of the oral cavity, pharynx, larynx and esophagus in Northern Italy, Cancer Res, 50, pp. 6502-6507, (1990)
[4]  
Correa P., A human model of gastric carcinogenesis, Cancer Res, 48, pp. 3554-3560, (1988)
[5]  
Dean G., MacLennan R., McLoughlin H., Shelley E., Causes of death of blue-collar workers at a Dublin brewery. 1954-73, Br J Cancer, 40, pp. 581-589, (1979)
[6]  
Gordon T., Kannel W.B., Drinking and mortality. The Framingham Study, Am J Epidemiol, 120, pp. 97-107, (1984)
[7]  
Rato I., Tominaga S., Matsumoto K., A prospective study of stomach cancer among a rural Japanese population: A 6-year survey, Jpn J Cancer Res, 83, pp. 568-575, (1992)
[8]  
Agudo A., Gonzales C.A., Marcos G., Sanz M., Saigi E., Verge J., Boleda M., Ortego J., Consumption of alcohol, coffee, and tobacco, and gastric cancer in Spain, Cancer Causes Control, 3, pp. 137-143, (1992)
[9]  
Correa P., Fontham E., Pickle L.W., Chen V., Lin Y., Haenszel W., Dietary determinants of gastric cancer in South Louisiana inhabitants, J Natl Cancer Inst, 75, pp. 645-654, (1985)
[10]  
De Stefani E., Correa P., Fierro L., Carzoglio J., Deneo-Pellegrini H., Zavala D., Alcohol drinking and tobacco smoking in gastric cancer: A case-control study, Rev Epidémiol Santé Pubi, 38, pp. 297-307, (1990)