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Slovenska pediatrija 2017; 24: 211-218

https://doi.org/

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Review article

GASTROINTESTINAL COMPLICATIONS OF EATING DISORDERS

K. Vidmar
Splošna bolnišnica Jesenice, Jesenice, Slovenija

M. Anderluh
Služba za otroško psihiatrijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana

T. Kamhi Trop
Klinični oddelek za gastroenterologijo, hepatologijo in nutricionistiko, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

Eating disorders are associated with numerous physical complications in various organ systems. Physical changes represent the direct consequences of weight loss or insufficient food intake, episodes of overeating or purgative behaviour (vomiting/laxative abuse). Patients with eating disorders frequently report symptoms related to the gastrointestinal tract. It is often difficult to distinguish between functional consequences of the eating disorder itself and the simultaneous presence of another organic disease. Gastrointestinal complications of eating disorders are in most cases reversible with appropriate regulation of nutrition. A more extensive diagnostic work-up should be reserved for situations where the state does not improve following the establishment of an adequate, regular food intake. In this article, we will focus on the most common symptoms originating from the gastrointestinal tract.

Key words: eating disorders, anorexia, bulimia, gastrointestinal complications.