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Upper gastrointestinal tract dysfunction in bulimia.

R E Cuellar1, W H Kaye, L K Hsu

  • 1Department of Medicine, Presbyterian-University Hospital, Pittsburgh, Pennsylvania.

Digestive Diseases and Sciences
|December 1, 1988
PubMed
Summary
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Bulimia nervosa significantly impacts young women, often causing serious upper gastrointestinal issues like esophagitis and gastritis. These conditions require separate medical attention alongside psychiatric care for bulimia nervosa.

Area of Science:

  • Gastroenterology
  • Psychiatry
  • Public Health

Background:

  • Bulimia nervosa affects 2-5% of American adolescent and young adult females.
  • The upper gastrointestinal tract plays a key role in bulimia nervosa symptoms.

Observation:

  • An interdepartmental program evaluated 11 patients with bulimia nervosa.
  • Patients were jointly assessed by gastroenterology and psychiatry specialists.

Findings:

  • Five of 11 patients (45%) had significant upper gastrointestinal pathology.
  • Diagnoses included ulcerative esophagitis, erosive gastritis, duodenal ulcer, and delayed gastric emptying.

Implications:

  • Gastrointestinal conditions in bulimia nervosa patients may be a cause or contributing factor to their symptoms.

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  • These findings highlight the need for specific gastrointestinal diagnosis and treatment independent of psychiatric care for bulimia nervosa.