患有饮食障碍的患者的胃肠道诊断:一项回顾性队列研究2010-2020年
Mariana N Almeida1, Micaela Atkins1,2, Isabelle Garcia-Fischer1
1Center for Neurointestinal Health, Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Neurogastroenterology and motility
|March 15, 2024
概括
大多数患有饮食障碍的患者在进行胃肠道咨询之前都会出现胃肠道 (GI) 症状,特别是功能/运动障碍. 近一半的这些患者没有缓解,突出显示了胃肠道提供者在查饮食障碍方面的作用.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 内部医学 内部医学
背景情况:
- 胃肠道 (GI) 障碍在饮食障碍 (ED) 患者中很普遍.
- 胃肠道症状和ED发作之间的时间序列尚未确立.
- 了解这种关系对于综合患者护理至关重要.
研究的目的:
- 调查肠道疾病与ED诊断的时间关系.
- 探索胃肠道诊断和ED缓解状态之间的关联.
- 评估GI提供商在识别ED方面的作用.
主要方法:
- 对344名患有ED和GI遭遇的患者 (2010-2020年) 的回顾性分析.
- 图表回顾抽象的胃肠道诊断和ED发病时间.
- 应用DSM-5标准来确定在GI咨询时的ED缓解状态.
主要成果:
- 大多数 (74.2%) 在GI咨询之前已经存在ED.
- 功能/运动障碍是最常见的胃肠道诊断 (57.3%),特别是在那些有先前ED的患者中 (62.5%).
- 几乎一半 (44.3%) 患有先前存在的ED的患者没有缓解,与体重不足和多重GI诊断有关.
结论:
- 勃起障碍的症状通常在胃肠道咨询之前出现,特别是功能/运动障碍.
- 显著比例的ED患者在由GI提供者看到时并没有缓解.
- 胃肠道提供者处于对ED进行查的良好位置,因此需要进一步研究ED-GI症状关系.
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