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Gastrointestinal symptoms and disorders in patients with eating disorders
Open accessAbstract
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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“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]
Experimental — accuracy not yet measuredIn the citing paper
“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]
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Metadata
- Authors
- Sato, Y., & Fukudo, S.
- Affiliations
- Tohoku University Hospital (JP)
- Tohoku University (JP)
- Corresponding author
- Sato, Yasuhiro
- Venue
- Clinical Journal of Gastroenterology
- Published
- 2015-10
- Volume
- 8
- Issue
- 5
- Pages
- 255-263
- ISSN
- 1865-7257 (ISSN-L)
- 1865-7265
- 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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