Assessment and management of disorders of gut-brain interaction in patients with eating disorders

被引:19
作者
Atkins, Micaela [1 ,2 ]
Murray, Helen Burton [2 ,3 ]
Staller, Kyle [2 ,4 ]
机构
[1] Massachusetts Gen Hosp, Dept Pediat, Div Pediat Gastroenterol Hepatol & Nutr, 55 Fruit St, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Ctr Neurointestinal Hlth, Div Gastroenterol, 55 Fruit St,Wang 5, Boston, MA 02114 USA
[3] Harvard Med Sch, Dept Psychiat, 401 Pk Dr, Boston, MA 02215 USA
[4] Harvard Med Sch, Dept Med, 25 Shattuck St, Boston, MA 02115 USA
关键词
Disorders of gut-brain interaction; Functional gastrointestinal disorders; Feeding and eating disorders; Anorexia nervosa; Bulimia nervosa; Avoidant; restrictive food intake disorder; Binge-eating disorder; Irritable bowel syndrome; Dysphagia; Dyspepsia; Constipation; FUNCTIONAL GASTROINTESTINAL DISORDERS; IRRITABLE-BOWEL-SYNDROME; ANOREXIA-NERVOSA; OROPHARYNGEAL DYSPHAGIA; GASTRIC-MOTILITY; DIAGNOSIS; THERAPY; PATHOPHYSIOLOGY; NEUROMODULATORS; MISCONCEPTIONS;
D O I
10.1186/s40337-022-00731-6
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Disorders of gut-brain interaction (DBGI), also known as functional gastrointestinal disorders, are common in individuals with eating disorders, and may precede or perpetuate disordered eating. Understanding the pathophysiology of common gastrointestinal symptoms in DGBI can be important for the care of many patients with eating disorders. In this review, we summarize the literature to date on the complex relationship between DBGI and eating disorders and provide guidance on the assessment and management of the most common symptoms of DBGI by anatomic region: esophageal symptoms (globus and functional dysphagia), gastroduodenal symptoms (functional dyspepsia and nausea), and bowel symptoms (abdominal pain, bloating and constipation). Plain English SummaryDisorders of gut-brain interaction, also known as functional gastrointestinal disorders, are common in individuals with eating disorders and can cause symptoms that affect all parts of the gastrointestinal system. In this review, we describe common symptoms of disorders of gut-brain interaction and recommendations for their assessment and management.
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页数:12
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