Journal of Gastrointestinal Surgery

, Volume 12, Issue 5, pp 985–987 | Cite as

Acute Gastric Dilatation, Necrosis and Perforation Complicating Restrictive-Type Anorexia Nervosa

  • Eitan Arie
  • Guy Uri
  • Amitai Bickel
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Hospitalization is occasionally required in anorexia nervosa patients to avoid the life-threatening complications of extreme malnutrition. However, refeeding is not a risk-free process. A constellation of metabolic disturbances can occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Patients can develop fluid and electrolyte disorders, especially hypophosphatemia, along with neurologic, pulmonary, cardiac, neuromuscular, and hematologic complications. We present an extremely rare complication that relates to this phenomenon, describing an acute gastric dilatation that led to gastric necrosis and perforation through an unusual mechanism, in an extremely anorectic teenager during hospitalization for refeeding.

Case History

A 16.5-year-old girl was admitted to the Child Psychiatry Department for severe malnutrition. Personal history revealed that she has been weight conscious since the age of 13, when she was 161 cm tall and...


Anorexia Nervosa Hypophosphatemia Anorectic Patient Gastric Dilatation Cachectic Patient 
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Copyright information

© The Society for Surgery of the Alimentary Tract 2007

Authors and Affiliations

  1. 1.SurgeryWestern Galilee HospitalNahariyaIsrael

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