Bulimia–An underlying behavioral disorder in hyperlipidemic pancreatitis: a prospective multidisciplinary approach
Abstract
• Between 1978 and 1985, we conducted a prospective study of 21 patients who survived several attacks of pancreatitis and were diagnosed as having primary hyperlipidemia. None of the patients suffered from chronic alcoholism, primary diabetes, or cholelithiasis or was receiving prolonged steroid therapy. Lowering of plasma lipid values toward normal was achieved in all patients following a program of combined dietary and drug (bezafibrate) therapy. Five patients had recurrent episodes of pancreatitis during the treatment program. These patients were diagnosed subsequently as suffering from bulimia and were all given cognitive behavioral therapy. One patient died following an attack of pancreatitis. An underlying eating disorder should be suspected in patients who relapse after treatment for pancreatitis and hyperlipidemia. Multidisciplinary treatment should be used in these patients to improve therapeutic efficacy and uncover behavioral patterns that have a direct impact on their life expectancy. (Arch Intern Med1987;147:705-708)
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Patients with FCS may be at risk for developing eating disorders, such as bulimia.
“Patients with FCS may be at risk for developing eating disorders, such as bulimia.41”
From Familial chylomicronemia syndrome: Bringing to life dietary recommendations throughout the life span (2018) · cites this paper as [41]
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Familial chylomicronemia syndrome: Bringing to life dietary recommendations throughout the life span
Williams, L., Rhodes, K. S., Karmally, W., Welstead, L. A., Alexander, L., & Sutton, L. (2018) · Journal of Clinical Lipidology · doi:10.1016/j.jacl.2018.04.010 · Cited by 125 · see citing works
- Authors
- Gavish, D.
- Corresponding author
- Gavish, Dov
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1987-04-01
- Volume
- 147
- Issue
- 4
- Pages
- 705
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W4235586322
- Cited by
- 14
- References
- 0
- Citations by year
- 2023: 1 · 2022: 1 · 2018: 1 · 2016: 1 · 2013: 1
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- bulimia nervosa, pancreatitis, hyperlipidemia, relapse, eating disorders, bezafibrate, dietary therapy, cognitive behavioral therapy, multidisciplinary treatment, plasma lipids
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