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

BackgroundGastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors.Case PresentationA 37-year old female patient with a history of 15...

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Main Authors: Najate Achamrah, Sébastien Grigioni, Moïse Coëffier, Nadjib Ainseba, Pierre Déchelotte
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00741/full
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author Najate Achamrah
Najate Achamrah
Najate Achamrah
Sébastien Grigioni
Sébastien Grigioni
Moïse Coëffier
Moïse Coëffier
Moïse Coëffier
Nadjib Ainseba
Pierre Déchelotte
Pierre Déchelotte
Pierre Déchelotte
author_facet Najate Achamrah
Najate Achamrah
Najate Achamrah
Sébastien Grigioni
Sébastien Grigioni
Moïse Coëffier
Moïse Coëffier
Moïse Coëffier
Nadjib Ainseba
Pierre Déchelotte
Pierre Déchelotte
Pierre Déchelotte
author_sort Najate Achamrah
collection DOAJ
description BackgroundGastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors.Case PresentationA 37-year old female patient with a history of 15 years of bulimia nervosa was admitted to the emergency department 24 h after binge eating. Abdominal Computed Tomography imaging showed major gastric distension reaching the pelvis and compressing the digestive organs. Total gastrectomy was required because of gastric necrosis. The patient reported significant reduction in bulimic symptoms after gastrectomy.ConclusionWe discuss here the possible mechanisms underlying this recovery, including changes in gut-derived factors that could mediate eating behavior changes.
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spelling doaj.art-adf261fc694249b0a848d391bcf482142022-12-22T03:01:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-07-011110.3389/fpsyt.2020.00741534666Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total GastrectomyNajate Achamrah0Najate Achamrah1Najate Achamrah2Sébastien Grigioni3Sébastien Grigioni4Moïse Coëffier5Moïse Coëffier6Moïse Coëffier7Nadjib Ainseba8Pierre Déchelotte9Pierre Déchelotte10Pierre Déchelotte11Nutrition Department, Rouen University Hospital Center, Rouen, FranceNormandie Univ, UNIROUEN, INSERM UMR 1073, Nutrition, Inflammation et dysfonction de l’axe Intestin-Cerveau, IRIB, Rouen, FranceClinical Investigation Centre CIC 1404, INSERM and Rouen University Hospital, Rouen, FranceNutrition Department, Rouen University Hospital Center, Rouen, FranceNormandie Univ, UNIROUEN, INSERM UMR 1073, Nutrition, Inflammation et dysfonction de l’axe Intestin-Cerveau, IRIB, Rouen, FranceNutrition Department, Rouen University Hospital Center, Rouen, FranceNormandie Univ, UNIROUEN, INSERM UMR 1073, Nutrition, Inflammation et dysfonction de l’axe Intestin-Cerveau, IRIB, Rouen, FranceClinical Investigation Centre CIC 1404, INSERM and Rouen University Hospital, Rouen, FranceDigestive Surgery, Beauvais Hospital Center, Beauvais, FranceNutrition Department, Rouen University Hospital Center, Rouen, FranceNormandie Univ, UNIROUEN, INSERM UMR 1073, Nutrition, Inflammation et dysfonction de l’axe Intestin-Cerveau, IRIB, Rouen, FranceClinical Investigation Centre CIC 1404, INSERM and Rouen University Hospital, Rouen, FranceBackgroundGastric necrosis following acute gastric dilatation is rare but more common in females with eating disorders, such as anorexia nervosa or bulimia, during which patients often alternate restriction and binge eating behaviors.Case PresentationA 37-year old female patient with a history of 15 years of bulimia nervosa was admitted to the emergency department 24 h after binge eating. Abdominal Computed Tomography imaging showed major gastric distension reaching the pelvis and compressing the digestive organs. Total gastrectomy was required because of gastric necrosis. The patient reported significant reduction in bulimic symptoms after gastrectomy.ConclusionWe discuss here the possible mechanisms underlying this recovery, including changes in gut-derived factors that could mediate eating behavior changes.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00741/fullbinge eatingbulimiagastric necrosisgastrectomyeating disorders
spellingShingle Najate Achamrah
Najate Achamrah
Najate Achamrah
Sébastien Grigioni
Sébastien Grigioni
Moïse Coëffier
Moïse Coëffier
Moïse Coëffier
Nadjib Ainseba
Pierre Déchelotte
Pierre Déchelotte
Pierre Déchelotte
Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
Frontiers in Psychiatry
binge eating
bulimia
gastric necrosis
gastrectomy
eating disorders
title Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_full Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_fullStr Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_full_unstemmed Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_short Gastric Necrosis After Binge Eating in Bulimia: Recovery From Eating Disorder After Total Gastrectomy
title_sort gastric necrosis after binge eating in bulimia recovery from eating disorder after total gastrectomy
topic binge eating
bulimia
gastric necrosis
gastrectomy
eating disorders
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00741/full
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