Department of Psychiatry, University of Pisa, Pisa, Italy, 56126.
Int J Eat Disord. 2015 Jan;48(1):147-50. doi: 10.1002/eat.22288. Epub 2014 Apr 22.
Barrett's esophagus (BE) is a metaplastic lesion that may result from long-lasting gastroesophageal reflux and it is an established precursor of esophageal adenocarcinoma. There are reports of an increased prevalence of BE, and eventually esophageal adenocarcinoma, in patients with eating disorders characterized by purging behaviors like those with bulimia nervosa (BN). Among patients with eating disorders, those affected by anorexia nervosa binging purging subtype (ANBP), are behaviorally very similar to those with BN, but to our knowledge there are no data in literature about BE in patients with ANBP. We present the case of a 37-year-old female with a 20-year history of ANBP in comorbidity with bipolar disorder, who developed a BE requiring multi-specialistic intervention.
巴雷特食管（BE）是一种化生性病变，可能由长期胃食管反流引起，是食管腺癌的明确前体。有报道称，在以暴食行为为特征的进食障碍患者中，BE 甚至食管腺癌的患病率增加，这些患者与神经性贪食症（BN）患者相似。在进食障碍患者中，神经性贪食症暴食-清泻型（ANBP）患者的行为与 BN 患者非常相似，但据我们所知，目前尚无文献报道 ANBP 患者的 BE 情况。我们报告了一例 37 岁女性，患有 ANBP 病史 20 年，同时合并双相情感障碍，发展为需要多学科干预的 BE。
