CoChat
Sign Up
Cited by 156Eating Disorders and BehaviorsGastrointestinal motility and disordersNutrition, Health and Food Behavior

Gastrointestinal symptoms and disorders in patients with eating disorders

Open access
Sato, Yasuhiro, Fukudo, Shin·2015·Clinical Journal of Gastroenterology
DOI 10.1007/s12328-015-0611-x
Open this paper in CoChat — free accountOpen PDF

Abstract

The two most clinically serious eating disorders are anorexia nervosa and bulimia nervosa. A drive for thinness and fear of fatness lead patients with anorexia nervosa either to restrict their food intake or binge-eat then purge (through self-induced vomiting and/or laxative abuse) to reduce their body weight to much less than the normal range. A drive for thinness leads patients with bulimia nervosa to binge-eat then purge but fail to reduce their body weight. Patients with eating disorders present with various gastrointestinal disturbances such as postprandial fullness, abdominal distention, abdominal pain, gastric distension, and early satiety, with altered esophageal motility sometimes seen in patients with anorexia nervosa. Other common conditions noted in patients with eating disorders are postprandial distress syndrome, superior mesenteric artery syndrome, irritable bowel syndrome, and functional constipation. Binge eating may cause acute gastric dilatation and gastric perforation, while self-induced vomiting can lead to dental caries, salivary gland enlargement, gastroesophageal reflux disease, and electrolyte imbalance. Laxative abuse can cause dehydration and electrolyte imbalance. Vomiting and/or laxative abuse can cause hypokalemia, which carries a risk of fatal arrhythmia. Careful assessment and intensive treatment of patients with eating disorders is needed because gastrointestinal symptoms/disorders can progress to a critical condition.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1007/s12328-015-0611-x

Cites

121 of 121 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Differentiating a primary eating disorder from disordered eating patterns related to the aforementioned factors can be challenging in patients with HSD/hEDS.

    “Differentiating a primary eating disorder from disordered eating patterns related to the aforementioned factors can be challenging in patients with HSD/hEDS. 81”

    From Hypermobile Ehlers–Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know (2022) · cites this paper as [81]

  • The exact mechanisms by which purging behaviors affect gut microbes remain largely unclear, but are expected to be a consequence of structural and functional changes in the colon, such as damage to mucosal lining, electrolyte imbalance, and changes in transit time and intra-abdominal pressure, which collectively alter the gut environment for microbial colonization.

    “The exact mechanisms by which these behaviors affect the gut microbes remain largely unclear, but are expected to be a consequence of structural and functional changes in the colon, e.g., damage to mucosal lining, electrolyte imbalance, as well as changes in transit time and intra-abdominal pressure, which collectively alter the gut environment for microbial colonization [81,82].”

    From Are the gut bacteria telling us to eat or not to eat? reviewing the role of gut microbiota in the etiology, disease progression and treatment of eating disorders (2017) · cites this paper as [81]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

1 retracted

Flagged first, then by citations

Research works printed but not linked: 2

  1. Szmukler GI, Young GP, Miller G, et al. A controlled trial of cisapride in anorexia nervosa. Int J Eat Disord. 1995;17(4):347-57.
  2. Crow SJ, Salisbury JJ, Crosby RD, Mitchell JE. Serum elec- trolytes as markers of vomiting in bulimia nervosa. Int J Eat Disord. 1997;21(1):95-8.

Cited by

Sorted by citations

Related

Authors
Sato, Y., & Fukudo, S.
Affiliations
  • Tohoku University Hospital (JP)
  • Tohoku University (JP)
Corresponding author
Sato, Yasuhiro
ORCID
Venue
Clinical Journal of Gastroenterology
Publisher
Springer Science and Business Media LLC
Published
2015-10
Volume
8
Issue
5
Pages
255-263
ISSN
  • 1865-7257 (ISSN-L)
  • 1865-7265
DOI
10.1007/s12328-015-0611-x
OpenAlex
W1867730255
Cited by
156
References
121
Citations by year
2026: 5 · 2025: 29 · 2024: 15 · 2023: 15 · 2022: 16 · 2021: 29 · 2020: 14 · 2019: 15 · 2018: 5 · 2017: 6 · 2016: 7
FWCI
0.87
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Clinical Journal of Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
eating disorders, anorexia nervosa, bulimia nervosa, gastrointestinal symptoms, postprandial fullness, abdominal pain, esophageal motility, postprandial distress syndrome, superior mesenteric artery syndrome, irritable bowel syndrome, functional constipation, gastric dilatation, gastric perforation, self-induced vomiting, laxative abuse, dental caries, gastroesophageal reflux disease, hypokalemia, electrolyte imbalance, cardiac arrhythmias
MeSH terms
Feeding and Eating Disorders, Constipation, Dyspepsia, Esophageal Diseases, Gastrointestinal Diseases, Gastrointestinal Motility, Humans, Liver Diseases, Rectal Prolapse, Superior Mesenteric Artery Syndrome, Irritable Bowel Syndrome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review