Audit of digestive complaints and psychopathological traits in patients with eating disorders: A prospective study

Salvioli, Beatrice; Pellicciari, Alessandro; Iero, Luisa; Pietro, Elena Di; Moscano, Filomena; Gualandi, Stefano; Stanghellini, Vincenzo; Giorgio, Roberto De; Ruggeri, Eugenio; Franzoni, Emilio

doi:10.1016/j.dld.2013.02.022

Cited by 60 publications

(67 citation statements)

References 32 publications

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“…A constellation of gastrointestinal symptoms are common in patients with eating disorders with a previous series reporting up to 96% suffer with postprandial fullness, 90% experience abdominal distension and more than 50% complain of abdominal pain and nausea [12]. However this case along with the pre-existing literature stress the need for clinicians to exhibit a high index of suspicion for ischaemic bowel in patients with eating disorders who present with abdominal pain; especially if preceded by suspected binge eating/recent re-feeding.…”

Section: Discussionmentioning

confidence: 99%

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

Foran

Clancy

Gorey

2016

International Journal of Surgery Case Reports

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HighlightsAnorexia nervosa is common, it has two subtypes; restrictive and binge/purge.Ischaemic bowel associated with anorexia nervosa is rare but potentially life-threatening.The mechanism of ischaemic bowel in anorexia nervosa has not been fully elucidated.This condition should be highlighted as it has a high associated mortality.Prompt involvement of radiology and surgery appears pivotal to outcome.

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Section: Discussionmentioning

confidence: 99%

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

Foran

Clancy

Gorey

2016

International Journal of Surgery Case Reports

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“…In support of this, there is evidence of an excess of early gastrointestinal events, eating difficulties, and somatic symptoms prior to illness onset in AN (20–23). Notably, while some gastrointestinal symptoms such as abdominal pain persist beyond weight restoration, many gastrointestinal symptoms also arise as a function of eating disorder symptoms and complicate treatment (62–64). Such signaling is mediated by the vagus nerve, and atypical vagal tone has also been reported in AN (though the trajectory of development in relation to illness course is unclear) (65).…”

Section: Discussionmentioning

confidence: 99%

The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa

et al. 2017

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Objective The diagnostic criterion disturbance in the experience of the body remains a poorly understood and persistent feature of anorexia nervosa (AN). Increased sophistication in understanding the structure of the insular cortex - a neural structure that receives and integrates visceral sensations with action and meaning - may elucidate the nature of this disturbance. We explored age, weight-status, illness severity, and self-reported body dissatisfaction associations with insular cortex volume. Methods Structural MRI data were collected from 21 adolescents with a history of AN and 20 age, sex, and BMI-matched controls. Insular cortical volumes (bilateral anterior and posterior regions) were identified using manual tracing. Results Volumes of the right posterior insula demonstrated: 1) a significant age by clinical status interaction (β = −0.018 ± 0.008; t = 2.32, p = 0.02) and 2) larger volumes were associated with longer duration of illness (r = .48, p < .04). In contrast, smaller volumes of the right anterior insula were associated with longer duration of illness (r = −.50, p < .03). The associations of insular volume with body dissatisfaction were of moderate effect size, also of opposite direction, but a statistical trend in right posterior (r = .40, p < .10 in right posterior; r = −.49, p < .04 in right anterior). Conclusions In this exploratory study, findings of atypical structure of the right posterior insular cortex point to the importance of future work investigating the role of visceral afferent signaling in understanding disturbance in body experience in AN.

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“…delayed gastric emptying, are often described by patients with AN secondary to weight loss and restrictive food intake [13][14][15]. These include symptoms of fullness, early satiety and nausea.…”

Section: Delayed Gastric Emptyingmentioning

confidence: 99%

“…Nuclear medicine testing is likely only necessary if symptoms persist despite significant nutritional rehabilitation and in more refractory cases. In fact, as patients gain weight and BMI increases with nutrition and psychotherapy, reports of GI discomfort and early satiety have been shown to significantly improve [13,18].…”

Section: Delayed Gastric Emptyingmentioning

confidence: 99%

“…These include symptoms of fullness, early satiety and nausea. Research has shown that postprandial fullness and abdominal distention are reported early on in the refeeding process in over 90% of cases [13,16]. Diagnosis of gastroparesis can be objectively defined by finding delayed gastric emptying without gastric obstruction during a nuclear medicine gastric emptying study (scintigraphy) [17].…”

Section: Delayed Gastric Emptyingmentioning

confidence: 99%

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Gastrointestinal Complications of Refeeding in Anorexia Nervosa

Beaty

Cusimano

Estry

et al. 2016

JNB

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Anorexia nervosa (AN) is a complicated and life-threatening mental illness. Restoration of weight and nutrition rehabilitation are key elements for the treatment of AN. However, gastrointestinal (GI) complications develop due to eating disorder behaviors, concomitant malnutrition, and during the refeeding process. These problems may give rise to significant medical sequela and contribute to increased difficulties with the critically important refeeding and weight restoration. Thus, this review aims to describe complications that may occur when refeeding a patient with AN including delayed gastric emptying, constipation, gastric dilatation, superior mesenteric artery (SMA) syndrome, refeeding hepatitis, and refeeding syndrome. It will also provide medical practitioners with a better understanding of the current nutritional recommendations for refeeding a patient with AN. This knowledge is required for correct management, successful nutritional rehabilitation, and improved treatment outcomes of patients with AN.

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Audit of digestive complaints and psychopathological traits in patients with eating disorders: A prospective study

Cited by 60 publications

References 32 publications

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

Case Report of the surgical management of small bowel and colonic ischaemia associated with Anorexia Nervosa binge/purge subtype

The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa

Gastrointestinal Complications of Refeeding in Anorexia Nervosa

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