Influence Of Alcohol Use Disorder (AUD), Antiepileptic Drug (AED) And Previous Gastrectomy on Elevated Mean Corpuscular Volume (MCV)

Bando H, Yamashita H, Kato Y and Ogura K

Published on: 2025-07-13

Abstract

The case is 67-year-old male with alcohol use disorder (AUD) for long. As past history, he underwent the Billroth-II anastomosis for pylorus-proximal gastrectomy against gastric cancer at the age of 59. Furthermore, he was diagnosed with cerebral venous sinus thrombosis and symptomatic epilepsy. Then, he has been provided levetiracetam and edoxaban tosilate. For laboratory data, elevated gamma-glutamyltransferase (GGT) and mean corpuscular volume (MCV) and normal ranges of Vitamin B₁₂ and folate were observed. Medical problems included the relationships among alcohol intake, liver function, complete blood count (CBC), MCV, liver, pancreas, continuation of levetiracetam and edoxaban. Various perspectives were described.