Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy

BACKGROUND: Gastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors. CASE PRESENTATION: A 37-year old female patient with a history...

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Autores principales: Achamrah, Najate, Grigioni, Sébastien, Coëffier, Moïse, Ainseba, Nadjib, Déchelotte, Pierre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Psychiatry
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7438759/
https://www.ncbi.nlm.nih.gov/pubmed/32903630
http://dx.doi.org/10.3389/fpsyt.2020.00741
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author Achamrah, Najate
Grigioni, Sébastien
Coëffier, Moïse
Ainseba, Nadjib
Déchelotte, Pierre
author_facet Achamrah, Najate
Grigioni, Sébastien
Coëffier, Moïse
Ainseba, Nadjib
Déchelotte, Pierre
author_sort Achamrah, Najate
collection PubMed
description BACKGROUND: Gastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors. CASE PRESENTATION: A 37-year old female patient with a history of 15 years of bulimia nervosa was admitted to the emergency department 24 h after binge eating. Abdominal Computed Tomography imaging showed major gastric distension reaching the pelvis and compressing the digestive organs. Total gastrectomy was required because of gastric necrosis. The patient reported significant reduction in bulimic symptoms after gastrectomy. CONCLUSION: We discuss here the possible mechanisms underlying this recovery, including changes in gut-derived factors that could mediate eating behavior changes.
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spelling pubmed-74387592020-09-03 Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy Achamrah, Najate Grigioni, Sébastien Coëffier, Moïse Ainseba, Nadjib Déchelotte, Pierre Front Psychiatry Psychiatry BACKGROUND: Gastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors. CASE PRESENTATION: A 37-year old female patient with a history of 15 years of bulimia nervosa was admitted to the emergency department 24 h after binge eating. Abdominal Computed Tomography imaging showed major gastric distension reaching the pelvis and compressing the digestive organs. Total gastrectomy was required because of gastric necrosis. The patient reported significant reduction in bulimic symptoms after gastrectomy. CONCLUSION: We discuss here the possible mechanisms underlying this recovery, including changes in gut-derived factors that could mediate eating behavior changes. Frontiers Media S.A. 2020-07-31 /pmc/articles/PMC7438759/ /pubmed/32903630 http://dx.doi.org/10.3389/fpsyt.2020.00741 Text en Copyright © 2020 Achamrah, Grigioni, Coëffier, Ainseba and Déchelotte http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Achamrah, Najate
Grigioni, Sébastien
Coëffier, Moïse
Ainseba, Nadjib
Déchelotte, Pierre
Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_full Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_fullStr Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_full_unstemmed Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_short Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_sort gastric necrosis after binge eating in bulimia: recovery from eating disorder after total gastrectomy
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7438759/
https://www.ncbi.nlm.nih.gov/pubmed/32903630
http://dx.doi.org/10.3389/fpsyt.2020.00741
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