Differential Diagnoses of Food-Related Gastrointestinal Symptoms in Patients with Anorexia Nervosa and Bulimia Nervosa: A Review of Literature

Zeitschrift für Psychosomatische Medizin und Psychotherapie
Inge Ulrike KressYesim Erim

Abstract

The present review investigates the prevalence and medical causes of food-related gastrointestinal symptoms in eating disorder (ED) patients and recommends a diagnostic algorithm based on the current literature. A literature search was conducted, which included publications from January 2000 until January 2017 Results: Over 90% of ED patients suffer from food-related symptoms. There is no evidence for a higher prevalence of immunological or structural gastrointestinal disorders in ED patients compared to the healthy population. Most food-related symptoms in ED patients are likely to be functional. Diagnostic work-up of food-related symptoms in ED patients needs to be based on clinical history. Only if timing and quality of symptoms point towards a disorder independent from the ED is a comprehensive diagnostic work-up necessary.

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Citations

Mar 3, 2018·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Gereon Heuft
Feb 11, 2020·The International Journal of Eating Disorders·Ute KesslerYngvild Danielsen
Feb 3, 2021·The International Journal of Eating Disorders·Madeline WestAnu Ruusunen
Jul 3, 2021·Journal of Clinical Medicine·Leah PuckettPhilip Mehler

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