Invited Reviews
Gastrointestinal Manifestations of Eating Disorders
Elana M. Bern,
Elizabeth R. Woods,
Leonel Rodriguez,
Corresponding Author
Elana M. Bern
Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, Boston, MA
Address correspondence and reprint requests to Elana M. Bern, MD, MPH, Assistant Professor, Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (e-mail: [email protected]).Search for more papers by this authorElizabeth R. Woods
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA
Search for more papers by this authorLeonel Rodriguez
Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, Boston, MA
Search for more papers by this authorElana M. Bern,
Elizabeth R. Woods,
Leonel Rodriguez,
Corresponding Author
Elana M. Bern
Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, Boston, MA
Address correspondence and reprint requests to Elana M. Bern, MD, MPH, Assistant Professor, Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA 02115 (e-mail: [email protected]).Search for more papers by this authorElizabeth R. Woods
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA
Search for more papers by this authorLeonel Rodriguez
Division of Gastroenterology, Boston Children's Hospital, Harvard Medical School, Boston, MA
Search for more papers by this authorE.R.W. was supported in part by the Leadership Education in Adolescent Health grant #T71MC00009 Maternal and Child Health Bureau, Health Resources and Services Administration.
The authors report no conflicts of interest.
ABSTRACT
Individuals with eating disorders, including anorexia nervosa and bulimia nervosa, may present with a range of gastrointestinal (GI) manifestations. The oral cavity, salivary glands, GI tract, pancreas, and liver can be impacted by nutritional restrictive and binge/purging behaviors. Complications are often reversible with appropriate nutritional therapy. At times, however, the complications in these disorders may be severe, irreversible and even life threatening. Given the often covert nature of eating disorders, the practitioner must be attentive to subtle clues that may indicate their presence. Extensive diagnostic evaluations of the GI manifestations of eating disorders should be used only when nutritional rehabilitation does not remedy the problems.
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