A summary of the GI manifestations of anorexia nervosa
Oral | Dysphagia Gingivitis and gingival recession Hyperamylasaemia Parotid enlargement Poor dentition |
Oesophageal | Dysmotility Functional heartburn GORD Increased LOS pressure Squamous cell carcinoma Vomiting (including self-induced) |
Gastric | Acute gastric dilatation Bloating Delayed gastric emptying Nausea Postprandial fullness |
Pancreatic | Pancreatitis |
Hepatic | Autophagy Hypoglycaemia Ischaemic hepatitis Transaminitis (ALT more than AST) |
Enteric | Delayed transit Dysbiosis Functional abdominal pain Ileus SMA syndrome |
Colonic | Constipation (functional and slow transit) Necrotising colitis |
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ALT, alanine aminotransferase; AST, aspartate aminotransferase; GI, gastrointestinal; GORD, gastro-oesophageal reflux disease; LOS, lower oesophageal sphincter; SMA, superior mesenteric artery.