Is it an eating disorder, gastrointestinal disorder, or both?

被引:14
作者
Bern, Elana M. [1 ]
O'Brien, Rebecca F. [2 ]
机构
[1] Harvard Univ, Sch Med, Dept Pediat, Div Gastroenterol Hepatol & Nutr,Boston Childrens, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Pediat, Div Adolescent Young Adult Med,Boston Childrens H, Boston, MA 02115 USA
关键词
anorexia nervosa; bulimia nervosa; celiac disease; Crohn disease; eating disorder; eosinophilic esophagitis; gastroesophageal reflux disease; gastrointestinal; INFLAMMATORY-BOWEL-DISEASE; NORTH-AMERICAN-SOCIETY; GASTROESOPHAGEAL-REFLUX DISEASE; CHRONIC ABDOMINAL-PAIN; ACADEMY-OF-PEDIATRICS; CELIAC-DISEASE; CROHNS-DISEASE; ANOREXIA-NERVOSA; IRON-DEFICIENCY; HELICOBACTER-PYLORI;
D O I
10.1097/MOP.0b013e328362d1ad
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose of reviewThe authors examine the differential diagnosis for gastrointestinal disorders that should be considered in individuals who present with nonspecific gastrointestinal and nutritional complaints suggestive of an eating disorder.Recent findingsThis review first identifies diseases with which eating disorders are often confused and then explores features in the history, physical examination, and laboratory studies, which can provide clues to the cause of the patient's symptoms. In addition, it discusses the recommended evaluation and treatments for the gastrointestinal diseases that most commonly mimic the presentation of eating disorders including Crohn disease (CrD), celiac disease, gastroesophageal reflux disease (GERD), and eosinophilic esophagitis (EoE).SummaryThe ubiquitous nature of the gastrointestinal complaints requires the clinician to consider a broad differential diagnosis when evaluating a patient for an eating disorder.
引用
收藏
页码:463 / 470
页数:8
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