Acute Gastric Dilatation Causing Acute Limb Ischemia in an Anorexia Nervosa Patient

Eetvelde, Ellen Van; Verfaillie, Lies; Winkel, Nele Van De; Hubloue, Ives

doi:10.1016/j.jemermed.2013.11.093

Cited by 19 publications

(26 citation statements)

References 8 publications

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“…A total of 30 cases ( Table ) describing acute gastric dilatation in patients with AN were included in this review. Patients were managed conservatively (gastric decompression, fluid and nutritional support) in approximately one‐third of the cases, while others underwent surgical intervention as a result of compromised clinical status . Three cases were managed medically initially, but then required surgical intervention for complications .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Gastrointestinal complications associated with anorexia nervosa: A systematic review

Norris

Harrison

Isserlin

et al. 2015

Intl J Eating Disorders

124

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Section: Resultsmentioning

confidence: 99%

“…Gastric necrosis was commonly noted in the cases of dilatation . Less commonly, gastric dilatation was associated with: duodenal ileus, acute pancreatitis, acute cardiac output impairment, superior mesenteric artery syndrome, acute renal failure, and leg ischemia …”

Section: Resultsmentioning

confidence: 99%

Gastrointestinal complications associated with anorexia nervosa: A systematic review

Norris

Harrison

Isserlin

et al. 2015

Intl J Eating Disorders

124

View full text Add to dashboard Cite

show abstract

“…Utilizing liquid calories to help enhance the emptying process, including fat containing liquids, may improve symptoms [22]. Additional recommendations include avoiding carbonated beverages to prevent distention of the stomach and eliminating alcohol consumption to prevent further slowing of gastric emptying [23,24].…”

Section: Delayed Gastric Emptyingmentioning

confidence: 99%

Gastrointestinal Complications of Refeeding in Anorexia Nervosa

Beaty

Cusimano

Estry

et al. 2016

JNB

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Anorexia nervosa (AN) is a complicated and life-threatening mental illness. Restoration of weight and nutrition rehabilitation are key elements for the treatment of AN. However, gastrointestinal (GI) complications develop due to eating disorder behaviors, concomitant malnutrition, and during the refeeding process. These problems may give rise to significant medical sequela and contribute to increased difficulties with the critically important refeeding and weight restoration. Thus, this review aims to describe complications that may occur when refeeding a patient with AN including delayed gastric emptying, constipation, gastric dilatation, superior mesenteric artery (SMA) syndrome, refeeding hepatitis, and refeeding syndrome. It will also provide medical practitioners with a better understanding of the current nutritional recommendations for refeeding a patient with AN. This knowledge is required for correct management, successful nutritional rehabilitation, and improved treatment outcomes of patients with AN.

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“…It is considered a surgical emergency because AGD can lead to cardiogenic shock, respiratory failure, hypovolemic shock, and renal dysfunction . In extreme cases, severe distended stomach compressing the abdominal aorta leads to multiple infarction . Failure of early presentation or diagnosis, and delayed treatment cannot halt life‐threatening fatal complications.…”

mentioning

confidence: 99%

Life‐threatening acute gastric dilatation with aorta compression in a 3‐year‐old child

Kim

Jung

Eun

2015

Pediatrics International

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We report a fatal case of acute gastric dilatation in a 3-year old boy who presented with severe abdominal pain and massive gastric distension in the emergency room. On physical examination the patient was in shock due to acute abdomen and lower limb ischemia. Initial laboratory findings showed multi-organ failure with acute renal failure and pancreatitis. Abdominal computed tomography (CT) showed marked dilatation of the stomach resulting in compression of the abdominal aorta. The left kidney, spleen and pancreas were not visible on CT due to the necrotic changes. The patient was quickly stabilized by initial volume resuscitation, but suddenly deteriorated immediately after gastric decompression via nasogastric tube, and died from multi-organ failure 3 h after initial presentation.

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Acute Gastric Dilatation Causing Acute Limb Ischemia in an Anorexia Nervosa Patient

Cited by 19 publications

References 8 publications

Gastrointestinal complications associated with anorexia nervosa: A systematic review

Gastrointestinal complications associated with anorexia nervosa: A systematic review

Gastrointestinal Complications of Refeeding in Anorexia Nervosa

Life‐threatening acute gastric dilatation with aorta compression in a 3‐year‐old child

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