Eating disorder or oesophageal achalasia during adolescence: diagnostic difficulties

Eating and Weight Disorders : EWD
Aurélie LetranchantNathalie Godart

Abstract

Marine was a fourteen and a half-year-old adolescent female hospitalized for an eating disorder (ED) of the anorexic type with purging behaviors. She has had a complicated life course, made up of disruptions and discontinuities, both family and school. Since the age of five, Marine had been intermittently treated in psychiatry for a diagnosis of oppositional defiant disorder. The current illness started with spontaneous and induced vomiting associated with major weight loss (body mass index, 15.27 kg m-2). The diagnosis of anorexia nervosa was established after several opinions from professionals in five Parisian university pediatric departments, where additional investigations were carried out without any somatic cause being identified. In this context, Marine was transferred to a child psychiatry unit. There, she had acute dyspnea during the insertion of a nasogastric tube. As a result, a new specialized opinion was sought from a pediatric gastroenterologist and further explorations were performed (oeso-gastroduodenal transit and manometry), leading to the conclusion to an oesophageal achalasia requiring surgical treatment. This case report highlights that the exclusion of any organic disorder should be a priority in the diag...Continue Reading

References

Jun 3, 2005·The American Journal of Gastroenterology·Woosuk Park, Michael F Vaezi
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Nov 26, 2015·The International Journal of Eating Disorders·Jennifer L Gaudiani, Philip S Mehler

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Citations

Aug 19, 2021·The International Journal of Eating Disorders·Michael GoldacreRaph Goldacre

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