Kushner Robert F, Shanta Retelny Victoria
Northwestern University Feinberg School of Medicine, Wellness Institute, Northwestern Memorial Hospital, Chicago, IL 60611, USA.
Obes Surg. 2005 Nov-Dec;15(10):1491-5. 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.
异食癖，即强迫性摄入非食物物质，是缺铁性贫血（IDA）常见但不太为人所知的症状。食冰癖或嗜冰是与缺铁和缺铁性贫血相关的最常见异食癖形式之一，最近才在接受胃旁路手术（RYGBP）的患者中被发现。本文介绍了胃旁路手术后出现并通过铁剂治疗得以缓解的女性食冰癖的更多病例。这些病例补充到文献中，引发了关于医疗服务提供者如何巧妙询问患者是否有异食癖的进一步讨论。
