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

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Gastrointestinal symptoms and disorders in patients with eating disorders

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Sato, Yasuhiro, Fukudo, Shin·2015·Clinical Journal of Gastroenterology

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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.

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Authors: Sato, Y., & Fukudo, S.
Affiliations: Tohoku University Hospital (JP)
Tohoku University (JP)
Corresponding author: Sato, Yasuhiro
ORCID: Sato, Yasuhiro
Fukudo, Shin
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: bronze
doi.org
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

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