Identification and Management of Eating Disorders (including ARFID) in GI Patients.

Helen Burton Murray, Samantha Calabrese

Journal: Gastroenterology clinics of North America 2022;51(4):765-783

PMID: 36375995

Full Text on Elsevier Science View on PubMed

Abstract

Eating disorders are characterized by cognitions (eg, fear of gastrointestinal symptoms around eating, overvaluation of body shape/weight) and behaviors (eg, dietary restriction, binge eating) associated with medical (eg, weight loss), and/or psychosocial impairments (eg, high distress around eating). With growing evidence for bidirectional relationships between eating disorders and gastrointestinal disorders, gastroenterology providers' awareness of historical, concurrent, and potential risk for eating disorders is imperative. In this conceptual review, we highlight risk and maintenance pathways in the eating disorder-gastrointestinal disorder intersection, delineate different types of eating disorders, and provide recommendations for the gastroenterology provider in assessing and preventing eating disorder symptoms..

Address: Division of Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: [email protected].; Division of Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

DOI: 10.1016/j.gtc.2022.07.004

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MeSH Terms: Humans, Avoidant Restrictive Food Intake Disorder, Gastroenterology, Retrospective Studies, Feeding and Eating Disorders, Weight Loss