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Achalasia as a complication of bulimia nervosa: A case report

OBJECTIVE: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurre...

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Autores principales: Kutuk, Meryem O., Guler, Gulen, Tufan, Ali E., Toros, Fevziye, Kaytanli, Umut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138103/
https://www.ncbi.nlm.nih.gov/pubmed/30263180
http://dx.doi.org/10.4102/sajpsychiatry.v23.996
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author Kutuk, Meryem O.
Guler, Gulen
Tufan, Ali E.
Toros, Fevziye
Kaytanli, Umut
author_facet Kutuk, Meryem O.
Guler, Gulen
Tufan, Ali E.
Toros, Fevziye
Kaytanli, Umut
author_sort Kutuk, Meryem O.
collection PubMed
description OBJECTIVE: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurrent inappropriate compensatory behaviours, such as self-induced vomiting and excessive exercise. Dysphagia, regurgitation, vomiting, retrosternal pain, heartburn, weight loss, avoidance of eating, consumption of large amount of liquids and aberrant eating behaviours are symptoms of both achalasia and BN. Owing to these common signs and symptoms, oesophageal achalasia can be misdiagnosed as an eating disorder. In addition, oesophageal achalasia can occur as a complication of BN. It is often difficult to distinguish organic and psychological vomiting or comorbidity because of overlapping of the symptoms. CASE REPORT: We report the case of a patient who developed oesophageal achalasia following severe, repetitive vomiting as a complication of BN. CONCLUSION: We want to raise awareness regarding the development of a medical illness in the presence of a psychiatric disorder. Importantly, physicians should have a fundamental knowledge of these two diseases regarding their clinical patterns to differentially diagnose one or both disorders as quickly as possible.
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spelling pubmed-61381032018-09-27 Achalasia as a complication of bulimia nervosa: A case report Kutuk, Meryem O. Guler, Gulen Tufan, Ali E. Toros, Fevziye Kaytanli, Umut S Afr J Psychiatr Case Report OBJECTIVE: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurrent inappropriate compensatory behaviours, such as self-induced vomiting and excessive exercise. Dysphagia, regurgitation, vomiting, retrosternal pain, heartburn, weight loss, avoidance of eating, consumption of large amount of liquids and aberrant eating behaviours are symptoms of both achalasia and BN. Owing to these common signs and symptoms, oesophageal achalasia can be misdiagnosed as an eating disorder. In addition, oesophageal achalasia can occur as a complication of BN. It is often difficult to distinguish organic and psychological vomiting or comorbidity because of overlapping of the symptoms. CASE REPORT: We report the case of a patient who developed oesophageal achalasia following severe, repetitive vomiting as a complication of BN. CONCLUSION: We want to raise awareness regarding the development of a medical illness in the presence of a psychiatric disorder. Importantly, physicians should have a fundamental knowledge of these two diseases regarding their clinical patterns to differentially diagnose one or both disorders as quickly as possible. AOSIS 2017-02-07 /pmc/articles/PMC6138103/ /pubmed/30263180 http://dx.doi.org/10.4102/sajpsychiatry.v23.996 Text en © 2017. The Authors http://creativecommons.org/licenses/by/2.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Case Report
Kutuk, Meryem O.
Guler, Gulen
Tufan, Ali E.
Toros, Fevziye
Kaytanli, Umut
Achalasia as a complication of bulimia nervosa: A case report
title Achalasia as a complication of bulimia nervosa: A case report
title_full Achalasia as a complication of bulimia nervosa: A case report
title_fullStr Achalasia as a complication of bulimia nervosa: A case report
title_full_unstemmed Achalasia as a complication of bulimia nervosa: A case report
title_short Achalasia as a complication of bulimia nervosa: A case report
title_sort achalasia as a complication of bulimia nervosa: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138103/
https://www.ncbi.nlm.nih.gov/pubmed/30263180
http://dx.doi.org/10.4102/sajpsychiatry.v23.996
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