Gastrointestinal complications and refeeding guidelines in patients with anorexia nervosa
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TLDR
The issues of gastrointestinal symptoms and complications in the course of Anorexia nervosa, and the rules of nutritional therapy are approached.Abstract:
Anorexia nervosa (AN) is the third most common disorder, after obesity and asthma, in the population of adolescents between 13-18 years of age. Food intake reduction is associated with whole body dysfunction, affecting its physical, psychological and social spheres. As a result of starvation, dysfunction develops in virtually all systems and organs. However, most frequently patients with AN complain of digestive symptoms, such as a feeling of fullness after meals, pain in the upper abdomen, dysphagia, nausea, bloating and constipation. They can have mild functional character, but may also reflect serious complications, including diseases requiring urgent surgical intervention. In addition, gastric complaints may hinder nutritional management of AN. Care of AN patients requires cooperation of many specialists in the field of psychiatry, psychology, paediatrics, internal medicine and nutrition. However, it is often difficult to organize such a team. Therefore, we decided to approach the issues of gastrointestinal symptoms and complications in the course of AN, and the rules of nutritional therapy.read more
Citations
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Journal ArticleDOI
Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews.
Corinne Blanchet,Sébastien Guillaume,F. Bat-Pitault,Marie-Emilie Carles,Julia Clarke,Vincent Dodin,Philibert Duriez,Philibert Duriez,Priscille Gerardin,Mouna Hanachi-Guidoum,Sylvain Iceta,Juliane Léger,Juliane Léger,B. Segrestin,Chantal Stheneur,Nathalie Godart +15 more
TL;DR: Clinicians are offered an overview of the evidence-based data in the literature concerning the medication (psychotropic drugs and medication for somatic and nutritional complications) in the field of anorexia nervosa since the 1960s to draw practical conclusions for everyday practise and future research.
Journal ArticleDOI
Pharmacological treatment of eating disorders, comorbid mental health problems, malnutrition and physical health consequences.
TL;DR: For ED patients with a manic episode, olanzapine (plus fluoxetine) seems appropriate in AN and lamotrigine in BN and BED; whereas for bipolar depression, Olanz Zapine ( plus fluoxettine) seem appropriate in An and lorazepam in BNs.
Journal ArticleDOI
Gastrointestinal Interoception in Eating Disorders: Charting a New Path
TL;DR: Using the alimentary tract as well as recent developments in interoceptive neuroscience and predictive processing as a guide, the current review summarizes evidence of gastrointestinal inter-ceptive dysfunction in eating disorders as discussed by the authors .
Journal ArticleDOI
Backstage of Eating Disorder-About the Biological Mechanisms behind the Symptoms of Anorexia Nervosa.
TL;DR: Current concepts regarding AN pathomechanisms that focus on the main biological aspects involving central and peripheral neurohormonal pathways, endocrine function, as well as the microbiome–gut–brain axis are reviewed.
Journal ArticleDOI
Incontinence and constipation in adolescent patients with anorexia nervosa—Results of a multicenter study from a German web‐based registry for children and adolescents with anorexia nervosa
Hannah K. Mattheus,Catharina Wagner,Katja Becker,Katharina Bühren,Christoph U. Correll,Christoph U. Correll,Karin Egberts,Stefan Ehrlich,Christian Fleischhaker,Manuel Föcker,Freia Hahn,Johannes Hebebrand,Beate Herpertz-Dahlmann,Charlotte Jaite,Ekkehart Jenetzky,Ekkehart Jenetzky,Michael Kaess,Michael Kaess,Tanja Legenbauer,Jens P. Pfeiffer,Tobias Renner,Veit Roessner,Ulrike M. E. Schulze,Judith Sinzig,Ida Wessing,Alexander von Gontard +25 more
TL;DR: The results indicate that constipation is highly prevalent in adolescent patients with anorexia nervosa and reflects a clinically relevant condition, despite, patients with AN do not have an increased prevalence of incontinence compared with the general population.
References
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TL;DR: In this paper, the authors conducted an 8-week, randomized, double-blind, placebo-controlled trial on 29 patients with anorexia nervosa and found that the cisapride group did not gain more weight.
Journal ArticleDOI
Hyperamylasemia in Patients with Eating Disorders
TL;DR: The appropriate diagnostic test for hyperamylasemia in patients with anorexia or bulimia is the simple measurement of serum lipase or pancreatic isoamylase activity, and if these levels are found to be normal, further tests to exclude pancreatitis are unnecessary.
Journal ArticleDOI
Acute pancreatitis and gastric dilatation in a patient with anorexia nervosa.
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