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Gastric dilatation in a girl with former obesity and atypical anorexia nervosa

✍ Scribed by Holtkamp, Kristian ;Mogharrebi, Rubin ;Hanisch, Charlotte ;Schumpelick, Volker ;Herpertz-Dahlmann, Beate


Publisher
Wiley (John Wiley & Sons)
Year
2002
Tongue
English
Weight
77 KB
Volume
32
Category
Article
ISSN
0276-3478

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✦ Synopsis


Objective:

This case report describes a 16 year-old girl of normal weight with acute gastric dilatation due to binge eating habits.

Method and results:

Psychiatric assessment revealed a history of obesity and later atypical anorexia nervosa, but no current diagnosis of a typical eating disorder. after one month of daily binges a food excess was followed by an acute massive gastric dilatation which led to a laparotomy.

Discussion:

Clinicians should be aware that abnormal eating habits may cause severe somatic complications even in patients of normal weight who are not currently diagnosed as having a typical eating disorder. careful investigation of eating habits might have resulted in therapeutic gastric emptying at an earlier stage, thus avoiding the need for surgery in our patient.