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

Achamrah, N.; Coëffier, Moı̈se; Ainseba, Nadjib; Déchelotte, Pierre

doi:10.3389/fpsyt.2020.00741

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…Similar conclusions have been reached by Achamrah et al. 4 which have shown that AGD with subsequent gastric necrosis can occur especially in patients that often alternate restriction and binge-eating behaviours. The authors also pointed out that starvation may induce atony of the stomach which is, therefore, more prone to rupture after overeating.…”

Section: Discussionsupporting

confidence: 88%

“…Binge eating is more common in women with an estimated prevalence of 4.9% in the female population. 2 Rarely, in such cases an Acute Gastric Dilatation (AGD) results; this complication is more frequent in binge anorexia nervosa/purge subtype and in bulimia nervosa 3,4 and can cause stomach rupture, when urgent surgery is required, which may prevent the death of the patient, also inducing a clinical recovery, but mortality is very high. 4,5 There are no reported cases of death caused by stomach rupture related to a single episode of binge eating in people unaffected by anorexia nervosa or bulimia nervosa.…”

Section: Introductionmentioning

confidence: 99%

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Binge-eating episode as a direct cause of death in a young individual without eating disorder

et al. 2022

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Binge eating is characterised by the ingestion of large quantities of food in a short time. Cases in the literature deal exclusively with gastric perforation in people with a history of anorexia nervosa, binge eating disorder or bulimia nervosa. We report the case of a young woman with no previous diagnosis of mental illness and a history of only two binge-eating episodes that occurred a few years earlier. She died suddenly during a binge-eating episode from stomach rupture resulting from a single perforation of the stomach with leakage of food material within the abdominal cavity. There was no sign of gastric necrosis or peritonitis. The deceased died quickly. Our case, which appears unique in the literature, shows that there is a risk of death even in people with no diagnosis of eating disorders and a history of only few and isolated binge-eating episodes. Physicians should carefully investigate a patient's history to assess any risks.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Binge-eating episode as a direct cause of death in a young individual without eating disorder

et al. 2022

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Recognising and managing eating disorders in the emergency department

Jafar

Everitt

et al. 2021

Postgraduate Medical Journal

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Compared with other mental health conditions or psychiatric presentations, such as self-harm, which may be seen in emergency departments, eating disorders can seem relatively rare. However, they have the highest mortality across the spectrum of mental health, with high rates of medical complications and risk, ranging from hypoglycaemia and electrolyte disturbances to cardiac abnormalities. People with eating disorders may not disclose their diagnosis when they see healthcare professionals. This can be due to denial of the condition itself, a wish to avoid treatment for a condition which may be valued, or because of the stigma attached to mental health. As a result their diagnosis can be easily missed by healthcare professionals and thus the prevalence is underappreciated. This article presents eating disorders to emergency and acute medicine practitioners from a new perspective using the combined emergency, psychiatric, nutrition and psychology lens. It focuses on the most serious acute pathology which can develop from the more common presentations; highlights indicators of hidden disease; discusses screening; suggests key acute management considerations and explores the challenge of mental capacity in a group of high-risk patients who, with the right treatment, can make a good recovery.

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