This study examines medical admission patterns among adolescents with restrictive eating disorders before and after the onset of the COVID-19 pandemic.
What's Known on This SubjectLimited data suggest the COVID-19 pandemic has been associated with worsening mental health outcomes, including worsening symptoms of eating disorders. Little is known about the potential effects of the pandemic on medical admission patterns among adolescents with eating disorders.
What This Study AddsMedical admissions among adolescents with eating disorders at our institution increased significantly during the COVID-19 pandemic, with the number of admissions during the first twelve months of the pandemic more than double the mean for the previous three years.
Endoscopic retrograde cholangiopancreatography was used most commonly for children with pancreatitis and gallstone disease. It was used frequently for infants with a low complication rate. The majority of patients required therapeutic intervention, suggesting an important role for ERCP in the management of pancreaticobiliary disease in infants and children.
Food allergy is increasing in prevalence worldwide. This review summarizes progress made studying relationships between food allergy and quality of life (QOL), with an emphasis on recent work in the field. Early work examining QOL among food allergy patients established that stress and anxiety associated with continuous allergen avoidance and the looming threat of anaphylaxis were associated with significantly impaired food allergy quality of life (FAQOL) for children with food allergy and their caregivers. Recent clinical studies suggest that undergoing oral food challenge to confirm food allergy and oral immunotherapy to treat food allergy may each improve FAQOL among both patients and their caregivers. Other intervention modalities, such as nurse-facilitated counseling and educational workshops, also hold promise, but additional work is needed. Future work must strive to recruit more representative, population-based samples, including adult patients, in order to improve the generalizability and clinical relevance of findings.
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