神经性厌食症和神经性贪食症患者与食物相关的胃肠道症状的鉴别诊断：文献综述
Differential Diagnoses of Food-Related Gastrointestinal Symptoms in Patients with Anorexia Nervosa and Bulimia Nervosa: A Review of Literature.
作者信息
Kress Inge Ulrike, Paslakis Georgios, Erim Yesim
机构信息
Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) Schloßplatz 4 91054 Erlangen Germany FAU Erlangen-Nürnberg.
Department of Psychosomatic Medicine and Psychotherapy University Hospital of Erlangen Friedrich-Alexander Universität Erlangen-Nürnberg Schwabachanlage 6 D-91054 Erlangen Germany Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen.
出版信息
Z Psychosom Med Psychother. 2018 Mar;64(1):4-15. doi: 10.13109/zptm.2018.64.1.4.
OBJECTIVES
The present review investigates the prevalence and medical causes of food-related gastrointestinal symptoms in eating disorder (ED) patients and recommends a diagnostic algorithm based on the current literature.
METHODS
A literature search was conducted, which included publications from January 2000 until January 2017 Results: Over 90% of ED patients suffer from food-related symptoms. There is no evidence for a higher prevalence of immunological or structural gastrointestinal disorders in ED patients compared to the healthy population. Most food-related symptoms in ED patients are likely to be functional.
CONCLUSIONS
Diagnostic work-up of food-related symptoms in ED patients needs to be based on clinical history. Only if timing and quality of symptoms point towards a disorder independent from the ED is a comprehensive diagnostic work-up necessary.
目的
本综述调查了饮食失调（ED）患者中与食物相关的胃肠道症状的患病率和医学原因，并根据当前文献推荐了一种诊断算法。
方法
进行了文献检索，包括2000年1月至2017年1月的出版物。结果：超过90%的ED患者患有与食物相关的症状。没有证据表明与健康人群相比，ED患者中免疫性或结构性胃肠道疾病的患病率更高。ED患者中大多数与食物相关的症状可能是功能性的。
结论
ED患者中与食物相关症状的诊断检查需要基于临床病史。只有当症状的时间和性质指向一种独立于ED的疾病时，才需要进行全面的诊断检查。
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