Ingested Foreign Body Associated With Bulimia Nervosa

Sankey, Christopher; Ladizinski, Barry; Gaudiani, Jennifer L.

doi:10.1016/j.jemermed.2014.04.038

Cited by 2 publications

(2 citation statements)

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“…A number of case reports describe scenarios in which either extreme gastric distension or rupture causes morbidity or mortality in patients with eating disorders . Others have described gastric foreign bodies found on radiography, which could cause obstruction, although this was not the situation in this case. The patient's very low body weight and recent precipitous weight loss points to two possible etiologies for AGD that must rapidly be clarified: is this due to gastroparesis, or due superior mesenteric artery (SMA) syndrome?…”

Section: Casesmentioning

confidence: 73%

Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices

Gaudiani

Mehler

2015

Intl J Eating Disorders

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Section: Casesmentioning

confidence: 73%

Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices

Gaudiani

Mehler

2015

Intl J Eating Disorders

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“…ingested foreign body (if disclosed) requiring either endoscopic or surgical removal. 58 59 ► There is potential for airway compromise and need for laryngoscopic removal of accidentally misplaced purging implements or large food boluses, while a simple diagnosis, patients may not disclose a clear history of how it occured. 60 61…”

Section: Reviewmentioning

confidence: 99%

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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Ingested Foreign Body Associated With Bulimia Nervosa

Cited by 2 publications

References 5 publications

Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices

Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices

Recognising and managing eating disorders in the emergency department

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