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首页> 外文期刊>European journal of gastroenterology and hepatology >Anorexia nervosa in gastrointestinal practice.
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Anorexia nervosa in gastrointestinal practice.

机译：神经性厌食症在胃肠道实践中。

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OBJECTIVES: To characterize the demographic, psychosocial and prognostic features of patients with anorexia nervosa (AN) presenting to a gastroenterology service, and to compare them with patients presenting to an eating disorders unit. METHODS: A retrospective study set in two centres providing a local and tertiary service for gastroenterology and eating disorders. The notes of 20 consecutive patients with AN from each centre were compared. Comparison was made with a control group of 20 consecutive patients with slow transit constipation presenting to a gastroenterology service. RESULTS: Patients with AN who presented to a gastroenterology service were significantly older, had often seen a large number of hospital specialists, had a spectrum of gastrointestinal complaints, suffered a substantial delay in being diagnosed, and had undergone a significantly greater number of investigations and hospital admissions than AN patients attending an eating disorders unit. The parents of AN patients presenting to a gastroenterology clinic had a greater burden of physical and psychiatric illness than the parents in either of the other groups, and also tended to have separated when the patients were under the age of 10 years. Adverse prognostic factors among AN patients presenting to a gastroenterology clinic included older age at presentation, long history, unemployment, early parental separation and a body mass index less than 17. CONCLUSIONS: Patients with AN presenting to a gastroenterology service have profound psychosocial morbidity in excess of those presenting to a specialist eating disorders unit. Their diagnosis is often delayed. Early recognition and prompt referral to a specialist eating disorder unit should form the basis of management.
机译：目的：表征就诊于肠胃病科的神经性厌食症（AN）患者的人口统计学，社会心理和预后特征，并将其与就诊于饮食失调症患者的患者进行比较。方法：在两个中心进行了一项回顾性研究，为胃肠病和饮食失调提供了本地和三级服务。比较了每个中心的20名连续性AN患者的病历。与对照组的20名连续慢速便秘患者就诊于肠胃科进行比较。结果：接受肠胃病服务的AN患者年龄较大，经常会见大量的医院专家，有各种各样的肠胃不适，诊断被严重延迟，并且接受了大量的调查和研究。住院人数比参加饮食失调科的AN患者要多。到胃肠病诊所就诊的AN患者的父母比其他任何一组的父母都承受着更大的身体和精神疾病负担，并且当患者不到10岁时，他们往往会分开。就诊于肠胃病诊所的AN患者中不良预后因素包括就诊年龄大，病史长，失业，父母早分离和体重指数低于17。结论：接受肠胃病服务的AN患者的心理社会发病率过高向专门的饮食失调症科提出的建议。他们的诊断常常被延迟。尽早识别并及时转诊至专门的饮食失调科应作为管理的基础。

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