Avoidant/restrictive food intake disorder symptoms are frequent in patients presenting for symptoms of gastroparesis.

Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society
Helen Burton MurrayHenry P Parkman

Abstract

Patients with symptoms of gastroparesis/dyspepsia often avoid foods or restrict eating for symptom management. There is growing interest in understanding risk for feeding/eating disorders (FEDs) like avoidant/restrictive food intake disorder (ARFID). Among patients presenting with gastroparesis/dyspepsia symptoms, we aimed to determine: (a) FED symptom frequency, and (b) relation of FED symptoms to gastrointestinal symptom severity and gastric retention abnormalities. Adult patients (N = 288; 78% female) referred for gastroparesis/dyspepsia symptoms at two academic medical centers from January 2018-February 2019 completed self-report surveys for gastrointestinal symptom severity and FED symptoms. Gastric retention data were available for 210 patients, using 4-hour EggBeater gastric emptying scintigraphy (GES). Clinically significant FED symptoms were present in 158 patients (54.9%). Interestingly, 115 patients (39.9%) met conservative self-report cutoff for ARFID symptoms, with 67 (23.3%) patients having documented psychosocial/medical impairment. Of those with survey data for other FEDs (n = 239), only 28 patients (11.7%) had restrictive eating disorders (anorexia nervosa; unspecified FED). Likelihood of having FED symptoms wa...Continue Reading

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Citations

Apr 25, 2021·Journal of the Academy of Nutrition and Dietetics·Megan E Riehl, Kate Scarlata
Jul 10, 2021·World Journal of Gastroenterology : WJG·Mihaela Fadgyas StanculeteStefan-Lucian Popa
Jul 14, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Madison SimonsMiranda A L van Tilburg
Jul 30, 2021·Digestive Diseases and Sciences·Garo G HagopianHenry P Parkman

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