Eating disorders after bariatric surgery: a case series

A significant number of post-bariatric surgery (BS) patients present with eating disorders (EDs) symptoms that require specialized treatment. These cases are thought to be underreported due to their frequent sub-syndromal presentation. This article describes ED syndromes that develop subsequent to B...

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Bibliographic Details
Published in:The International journal of eating disorders 2013-04, Vol.46 (3), p.274-279
Main Authors: Conceição, Eva, Orcutt, Molly, Mitchell, James, Engel, Scott, Lahaise, Kim, Jorgensen, Michelle, Woodbury, Kara, Hass, Naomi, Garcia, Luis, Wonderlich, Stephen
Format: Article
Language:English
Subjects:
Adult
Aged
Bariatric Surgery - psychology
Bulimia
Eating disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - psychology
Female
Gastrointestinal surgery
Humans
Inpatients
Medical treatment
Middle Aged
Obesity - psychology
Obesity - surgery
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Summary:A significant number of post-bariatric surgery (BS) patients present with eating disorders (EDs) symptoms that require specialized treatment. These cases are thought to be underreported due to their frequent sub-syndromal presentation. This article describes ED syndromes that develop subsequent to BS. The clinical charts of 12 individuals who were hospitalized on a specialized inpatient EDs unit were reviewed. Based on the new DSM-5 proposed criteria, six patients would meet criteria for an anorexia nervosa (AN) diagnosis: three with binge eating/purge AN subtype and three with restrictive AN subtype. An additional four met criteria for atypical AN, since they were at a normal weight, and two patients met criteria for bulimia nervosa. Several similarities to the classical EDs were found. The findings that most distinguished these patients from those with classical EDs were their ages, and the age of onset of the ED for some patients.
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.22074