Obesity Surgery

, Volume 15, Issue 10, pp 1491–1495

Emergence of Pica (Ingestion of Non-food Substances) Accompanying Iron Deficiency Anemia after Gastric Bypass Surgery

  • Robert F Kushner
  • Victoria Shanta Retelny

DOI: 10.1381/096089205774859371

Cite this article as:
Kushner, R.F. & Shanta Retelny, V. OBES SURG (2005) 15: 1491. doi:10.1381/096089205774859371

Pica, the compulsive ingestion of non-food substances, is a common, yet less well known symptom of iron deficiency anemia (IDA). Ice eating or pagophagia is one of the most common forms of pica associated with iron deficiency and IDA, and has only recently been identified among patients who had undergone Roux-en-Y gastric bypass (RYGBP). This article presents additional cases of pagophagia in women which emerged after RYGBP and resolved with iron treatment. These cases, added to the literature, lead to further discussion of how healthcare providers can subtly probe patients for the presence of pica.


Copyright information

© Springer 2005

Authors and Affiliations

  • Robert F Kushner
    • Victoria Shanta Retelny

      There are no affiliations available