Is it an eating disorder, gastrointestinal disorder, or both?

  title={Is it an eating disorder, gastrointestinal disorder, or both?},
  author={Elana M. Bern and Rebecca Flynn O'Brien},
  journal={Current Opinion in Pediatrics},
Purpose of review The authors examine the differential diagnosis for gastrointestinal disorders that should be considered in individuals who present with nonspecific gastrointestinal and nutritional complaints suggestive of an eating disorder. Recent findings This review first identifies diseases with which eating disorders are often confused and then explores features in the history, physical examination, and laboratory studies, which can provide clues to the cause of the patient's symptoms… 

Differential Diagnoses Between Primary Eating Disorders and Disordered Eating Secondary to a Primary Gastrointestinal Disorder

This chapter will give an overview of how to correctly diagnose a primary eating disorder and the general treatment paradigm of such conditions.

Differentiating between eating disorders and gastrointestinal problems

The importance of identifying the presence ofeating disorders in patients attending gastrointestinal services and the effects of eating disorders on the gastrointestinal tract is discussed.

Gastrointestinal Manifestations of Eating Disorders

Individuals with anorexia nervosa and bulimia nervosa may present with a range of gastrointestinal manifestations, and extensive diagnostic evaluations of the GI manifestations of eating disorders should be used only when nutritional rehabilitation does not remedy the problems.

Achalasia and Eating Disorders

This chapter provides an update and synthesis of current knowledge on diagnostic issues relevant to the differential diagnosis between eating disorders and achalasia, with a focus on the 5th edition of the Diagnostic and Statistical Manual Chapter on Feeding and Eating Disorders.

Is it an eating disorder or achalasia or both? A literature review and diagnostic challenges.

  • D. ReasS. ZipfelØ. Rø
  • Medicine
    European eating disorders review : the journal of the Eating Disorders Association
  • 2014
Increased awareness of achalasia in ED treatment settings can help facilitate detection of achalasia, thereby reducing treatment delay, and reduce treatment delay.


The work presented in this thesis provides additional knowledge concerning the role that BMI and gastrointestinal problems play across childhood and adolescence in relation to the development of eating disorders and increases the understanding of the comorbidity between FGID and eating disorders, and clarifies the bidirectional relationship.

Eating Disorders, Autoimmune, and Autoinflammatory Disease

Autoimmune and autoinflammatory diseases are associated with increased risk for eating disorders in children and adolescents and the role of immune system disturbance for the etiology and pathogenesis of eating disorders could point toward novel treatment targets.

Evaluating disorders of gut-brain interaction in eating disorders.

The directionality and mechanisms underlying the nature of the relationship between gastrointestinal and Eating disorder symptoms is worthy of further study and clinicians should adopt an integrated approach by attending to both gastrointestinal and eating disorder symptoms in their patients.

Anorexia nervosa of the restrictive type and celiac disease in adolescence

CD diagnosis or serology does not relate to ANr clinical or demographic characteristics, however, a slight increase in prevalence with respect to the general population might be hypothesized and possibly elucidated by further studies with an appropriate design.



The interaction between eating disorders and celiac disease: an exploration of 10 cases

These cases demonstrate the complex ways in which celiac disease and eating disorders interact with important clinical implications for the diagnosis and treatment of both illnesses and suggest that clinicians treating patients with eating disorders or Celiac disease should be aware of both conditions to provide optimum care.

Psychological features are important predictors of functional gastrointestinal disorders in patients with eating disorders

In patients with EDs, specific psychological traits predict FGID type and the presence of multiple coexistent FGIDs, which support the role of specific psychological features as important contributors to certain FGIDs.

Gastrointestinal Complaints in Patients With Eating Disorders

Gastroenterologists and primary care physicians should employ available instruments to screen young women of low to normal weight with gastrointestinal complaints for possible EDs and referral to specialized treatment programs should be made promptly when an ED is identified.

Eating pathology in adolescents with celiac disease.

There was aHigher rate of eating pathology in CD patients than would be expected, especially, a higher rate of bulimia nervosa, and the authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.

Gastroesophageal reflux disease and bulimia nervosa--a review of the literature.

  • M. DenholmJ. Jankowski
  • Medicine
    Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
  • 2011
Whether patients suffering from bulimia nervosa had an increased rate of reflux-related symptoms, potentially placing them at risk of developing sequelae such as Barrett's esophagus and esophageal adenocarcinoma, is suggested but far from being proved conclusively.

Anorexia nervosa and celiac disease: two case reports.

Two cases of women suffering from Anorexia nervosa and celiac disease are reported and it is suggested that in the first case the dietary restriction could act as a trigger for the eating disorder, whereas in the second case, the onset of Celiac disease could have exacerbated the clinical symptoms of AN.

Anorexia nervosa: manifestations and management for the gastroenterologist

Treatments directed at improving GI sensorimotor function and neurohormonal abnormalities in patients with anorexia nervosa may impact their nutritional rehabilitation and may have important health economic implications as patients avoid hospitalization and are restored to full activities in society.

Chronic Abdominal Pain In Children: a Technical Report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition.

Although children with chronic abdominal pain and their parents are more often anxious or depressed, the presence of anxiety, depression, behavior problems or recent negative life events does not distinguish between functional and organic abdominal pain.

Eosinophilic esophagitis: diagnostic tests and criteria

  • E. Dellon
  • Medicine
    Current opinion in gastroenterology
  • 2012
The clinical, endoscopic, and histologic features of eosinophilic esophagitis (EoE), review the current diagnostic guidelines for EoE, and present an approach for diagnosis are presented.