BACKGROUND: Necrotizing colitis (NC) represents a severe, although rare, complication in patients with anorexia nervosa. OBJECTIVE: We report the only case of NC with good prognosis in a severely malnourished AN patient. METHOD: Available patient records, imaging, and biochemical data were evaluated. DISCUSSION: This case represents an unusual gastrointestinal complication and underlines the important clinical role that Parenteral Nutrition (PN) has for some selected very malnourished AN patients. The severe starvation may compromise the normal function of gastrointestinal tract and it can also lead to an incomplete tolerance of enteral refeeding thus making PN required to reach the nutritional rehabilitation.
BACKGROUND:Necrotizing colitis (NC) represents a severe, although rare, complication in patients with anorexia nervosa. OBJECTIVE: We report the only case of NC with good prognosis in a severely malnourished AN patient. METHOD: Available patient records, imaging, and biochemical data were evaluated. DISCUSSION: This case represents an unusual gastrointestinal complication and underlines the important clinical role that Parenteral Nutrition (PN) has for some selected very malnourished AN patients. The severe starvation may compromise the normal function of gastrointestinal tract and it can also lead to an incomplete tolerance of enteral refeeding thus making PN required to reach the nutritional rehabilitation.
Authors: Enrica Marzola; Jennifer A Nasser; Sami A Hashim; Pei-An Betty Shih; Walter H Kaye Journal: BMC Psychiatry Date: 2013-11-07 Impact factor: 3.630
Authors: Caroline Riedlinger; Greta Schmidt; Alisa Weiland; Andreas Stengel; Katrin Elisabeth Giel; Stephan Zipfel; Paul Enck; Isabelle Mack Journal: Front Psychiatry Date: 2020-04-20 Impact factor: 4.157