Upper gastrointestinal tract dysfunction in bulimia |
| |
Authors: | Rafael E Cuellar MD Walter H Kaye MD L K George Hsu MD Dr David H Van Thiel MD |
| |
Institution: | (1) Departments of Medicine, and Psychiatry, Presbyterian-University Hospital, USA;(2) Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 15261 Pittsburgh, Pennsylvania;(3) Department of Medicine, University of Pittsburgh School of Medicine, 1000 G Scaife Hall, 15261 Pittsburgh, Pennsylvania |
| |
Abstract: | Bulimia nervosa is a health problem of increasing magnitude that is estimated to affect 2–5% of the American adolescent and young adult female population. Because of the magnitude of this clinical problem and because of the importance of the upper gastrointestinal tract in its expression, a intradepartmental program of health care for patients affected with the disease was initiated. Eleven consecutive symptomatic bulimic individuals have been evaluated jointly by the gastroenterology and the psychiatry departments of the University of Pittsburgh. Five of these 11 individuals were found to have clinically important upper gastrointestinal pathology including ulcerative esophagitis, erosive gastritis, duodenal ulcer, and delayed gastric emptying. These gastrointestinal conditions could have been either a result of or have contributed to the symptomatology of these five patients. These data suggest that bulimic subjects have clinically important gastroenterological disease processes that require specific diagnosis and treatment independent of the psychiatric treatment provided for the bulimic condition.This work was supported in part by grants from NIDDK AM 32556. |
| |
Keywords: | bulimia eating disorder anorexia-bulimia psychiatric disorder |
本文献已被 SpringerLink 等数据库收录! |
|