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 31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Before or after their diagnosis, each of three patients with inflammatory bowel disease had an established eating disorder. Two had bulimia and one was presumed to have had anorexia/bulimia. In addition to the usual modes of weight control, such as vomiting and fasting, two of the patients, all of whom were lactose intolerant, used milk ingestion as a purgative.
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PMID:Eating disorders in inflammatory bowel disease. 842 37

Eating disorders, including anorexia nervosa and bulimia nervosa, are common problems in young women, yet many delay or never seek treatment for them. A semistructured telephone interview that addressed various eating problems was conducted with 78 consecutive patients referred to a university hospital eating disorders clinic. It was hypothesized that individuals who subsequently followed through with treatment would differ in some easily recognizable characteristics from those who did not. No significant differences were found in variables, including duration of eating problems, frequency of binge eating or vomiting, history of previous treatment, or presence of associated physical problems. However, individuals who abused laxatives, those with depression, and those who were least satisfied with their current weight tended to avoid coming to the clinic for treatment. These findings suggest that individuals with more severe eating problems may be the most reluctant to seek treatment.
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PMID:Factors predicting reluctance to seek treatment in patients with eating disorders. 848 99

Recent cases in our Eating Disorders Clinic suggest that patients diagnosed with bulimia nervosa seeking surgical fat removal may be exhibiting a variant of the purging behavior seen in bulimic patients. These same patients exhibit historical or concurrent abuse of laxatives and/or diuretics or self-induced vomiting in a pathologic attempt to obtain or maintain an idealized body image. This paper presents two case studies that illustrate the bulimic patient's compulsive quest for lipectomy with unrealistic expectations that surgical alteration of the body will be an emotional and physical panacea. Plastic surgeons must be cautioned regarding this potential manifestation of bulimia nervosa and the dangers inherent in colluding with the patient in a pathologic request for surgery. It is important for plastic surgeons to recognize appropriate use of lipectomy as an alternative to traditional purging behavior in the bulimic patient.
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PMID:Lipoplasty in the bulimic patient. 876 15

This descriptive study evaluated the presence of bulimic weight-loss behaviors in individuals enrolled in: (1) a military weight-management program (N = 51); (2) a civilian weight-management program (N = 53); and (3) a comparison (military normal-weight) group (N = 51). A modified version of the Stanford Eating Disorders Questionnaire was administered to all subjects. The results indicated that the military weight-management program group reported that they engaged in bulimic weight-loss behaviors two to five times more often than the comparison group, and that they engaged in vomiting, strenuous exercise, or use of sauna/steam room four times as often as the civilian weight-management program group. The results suggest that bulimic weight-loss behaviors may develop in individuals who feel extreme pressure to lose weight.
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PMID:Bulimic weight-loss behaviors in military versus civilian weight-management programs. 877 86

There is controversy over how best to classify eating disorders in which there is recurrent binge eating. Many patients with recurrent binge eating do not meet diagnostic criteria for other of the two established eating disorders, anorexia nervosa or bulimia nervosa. The present study was designed to derive an empirically based, and clinically meaningful, diagnostic scheme by identifying subgroups from among those with recurrent binge eating, testing the validity of these subgroups and comparing their predictive validity with that of the DSM-IV scheme. A general population sample of 250 young women with recurrent binge eating was recruited using a two-stage design. Four subgroups among the sample were identified using a Ward's cluster analysis. The first subgroup had either objective or subjective bulimic episodes and vomiting or laxative misuse; the second had objective bulimic episodes and low levels of vomiting or laxative misuse; the third had subjective bulimic episodes and low levels of vomiting or laxative misuse; and the fourth was heterogeneous in character. This cluster solution was robust to replication. It had good descriptive and predictive validity and partial construct validity. The results support the concept of bulimia nervosa and its division into purging and non-purging subtypes. They also suggest a possible new binge eating syndrome. Binge eating disorder, listed as an example of Eating Disorder Not Otherwise Specified within DSM-IV, did not emerge from the cluster analysis.
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PMID:The classification of bulimic eating disorders: a community-based cluster analysis study. 881 15

The authors describe a case of intermittent fasting and self-induced vomiting in a student aviator whose symptoms do not meet the full criteria for either anorexia or bulimia. The range of symptomatology and differential diagnosis of eating disorders is discussed. New DSM-IV diagnostic criteria for eating disorders, including Eating Disorder Not Otherwise Specified (NOS), and associated therapeutic alternatives are reviewed. The case demonstrates the importance of comprehensive physical and psychiatric evaluation of those patients with complex or atypical presentations. Issues pertaining to the aeromedical disposition of such patients are discussed, with emphasis on the role of the flight surgeon in the early recognition of eating disorders.
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PMID:A case of "eating disorder NOS": aeromedical implications of DSM-IV diagnostic criteria. 883 42

The characteristics of anorexia nervosa and bulimia nervosa were studied in ballet dancers in full-time training and compared with other young women at school. Dancers had higher scores on the Eating Attitudes Test. Dancers were more likely to have an eating disorder when strict modified DSM-3-R criteria were applied. Currently 1 dancer (1.6%) and no student had anorexia nervosa, 1 dancer (1.6%) and 3 students (1.3%) had bulimia nervosa and 5 dancers (8.3%) and 9 students (4.2%) had an unclassified eating disorder. Another dancer had been treated for anorexia nervosa in the past. One dancer was treated for bulimia nervosa and 6 for weight loss. Dancers were more likely to have been told to increase their body weight. Dancers were not more likely to be afraid of losing control of their weight and becoming obese if they attempted weight gain, to ignore the advice to gain weight or resist gaining weight. Regular self-induced vomiting was reported by 4% of women. Dancers are at risk for the development of eating disorders. Ballet dancers are under pressure to maintain low body weight. The low body weight and menstrual disturbance found among young dancers during training are two of the characteristics of anorexia nervosa Ballet dancers use behaviours aimed at weight control and weight loss. In dancers and professional groups under intense pressure to diet, low body weight and amenorrhoea are not sufficient criteria to diagnose anorexia nervosa. These behaviours can result in binge eating and multiple behaviours aimed at preventing binge eating. Whether the characteristics of bulimia among dancers are sufficient for a diagnosis of bulimia nervosa to be made is unknown. The aim of this paper is to study the characteristics of the eating disorders anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified among young ballet dancers in full-time ballet training and to provide information about the risk of development of eating disorders among young women required to maintain below average body weight while continuing above average exercise.
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PMID:Characteristics of eating disorders among young ballet dancers. 886 53

The frequent occurrence of the eating disorder bulimia and major scientific contributions raise the question as to its origins, history, and course. Considerable information exists on bulimia. This paper reviews the historical references to the disorder from the first recorded report to the present (2,500 years ago to ca. 1970). The concept of bulimia has undergone various changes, beginning with a monosymptomatic, and leading to a polymorphous clinical picture. In addition, after being fused with the concept of kynorexia (incessant voracious eating followed by vomiting), the concept of bulimia has again attained a unified manifestation. Some symptoms appear to have taken on a different evaluation in time. All this must be seen in the context of the multiple changes which the concept of bulimia has undergone. Its characteristics justify neither a "new" disorder nor, as a consequence, an additional name.
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PMID:Bulimia: a historical outline. 895 22

A 25-year-old female patient with a 9-year history of bulimia nervosa gave a 2-year history of regularly ingesting up to 24 x 300 mg aspirin tablets to facilitate vomiting after a binge. Awareness of this dangerous practice is important when asking for an eating disorder history. Assessing for the possible physical sequelae of aspirin misuse and educating the patient about the risks would be an important part of the overall treatment.
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PMID:Use of aspirin to facilitate vomiting in a young woman with bulimia nervosa: a case report. 906 45

Bulimia nervosa, an increasingly common eating disorder, involves binge eating and subsequent purging behavior. Repeated self-induced vomiting may lead to dental erosion. This article describes the use of resin-bonded ceramic crowns to manage a severely eroded maxillary dentition in such a patient.
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PMID:Use of resin-bonded ceramic crowns in a bulimic patient with severe tooth erosion. 906 23


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