Anorexia nervosa in gastrointestinal practice

Abstract

Patients with AN presenting to a gastroenterology service have profound psychosocial morbidity in excess of those presenting to a specialist eating disorders unit. Their diagnosis is often delayed. Early recognition and prompt referral to a specialist eating disorder unit should form the basis of management.

Education and Practice Gaps of Registered Dietitian Nutritionists Working With Clients With Eating Disorders

“…The lack of awareness of ED signs/ symptoms across the health professionals has been reported [32][33][34] and is supported by the RDNs' perceptions in this study, specifically toward physicians' lack of awareness. Apprehension expressed by RDN participants in the focus groups is similar to other health professionals who have little exposure to clients with ED.…”

Increased emergency department use by adolescents and young adults with eating disorders

“…These findings are consistent with prior studies that have found increased rates of utilization of healthcare in multiple settings including primary care, mental health, and specialty services (gastroenterology and gynecology practices) in patients with eating disorders both prior to and following their diagnosis. [1][2][3][4][5]7 However, few studies have focused specifically on the utilization of EDs by patients with eating disorders. Thus, the findings of the current study contribute important new information to the literature on healthcare utilization in eating disorders and, given the high costs associated with recurrent ED use, have important implications for the healthcare system as a whole.…”

“…7 Despite this increased use of resources, the majority of eating disorders go undiagnosed for years. [8][9][10] Although fewer studies of healthcare utilization in patients with eating disorders have included acute care settings such as urgent care and emergency departments (EDs), increased use of these services in patients with eating disorder when compared with controls has also been noted.…”

Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM‐V

“…[1][2][3][4][5] These data, in combination with findings from the National Comorbidity Study-Replication (NCS-R) indicating that a majority of individuals with bulimia nervosa (BN) and binge eating disorder (BED) in the U.S. do not receive specific treatment for their illness, warrant serious concern. 6 Although the large percentage of individuals who do not receive care for their eating disorder may, in part, reflect poor access to health care resources and unfavorable help-seeking patterns, suboptimal clinician attunement to and recognition of eating disorder symptoms clearly contribute as well.…”