饮食失调患者肠道-脑相互作用障碍的评估与管理
Assessment and management of disorders of gut-brain interaction in patients with eating disorders.
作者信息
Atkins Micaela, Burton Murray Helen, Staller Kyle
机构信息
Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Division of Gastroenterology, Center for Neurointestinal Health, Massachusetts General Hospital, 55 Fruit Street, Wang 5, Boston, MA, 02114, USA.
出版信息
J Eat Disord. 2023 Feb 13;11(1):20. doi: 10.1186/s40337-022-00731-6.
Disorders of gut-brain interaction (DBGI), also known as functional gastrointestinal disorders, are common in individuals with eating disorders, and may precede or perpetuate disordered eating. Understanding the pathophysiology of common gastrointestinal symptoms in DGBI can be important for the care of many patients with eating disorders. In this review, we summarize the literature to date on the complex relationship between DBGI and eating disorders and provide guidance on the assessment and management of the most common symptoms of DBGI by anatomic region: esophageal symptoms (globus and functional dysphagia), gastroduodenal symptoms (functional dyspepsia and nausea), and bowel symptoms (abdominal pain, bloating and constipation).
肠-脑互动障碍（DBGI），也称为功能性胃肠病，在饮食失调患者中很常见，可能先于饮食失调出现或使其持续存在。了解DBGI中常见胃肠道症状的病理生理学对于许多饮食失调患者的护理可能很重要。在本综述中，我们总结了迄今为止关于DBGI与饮食失调之间复杂关系的文献，并按解剖区域为DBGI最常见症状的评估和管理提供指导：食管症状（球部异物感和功能性吞咽困难）、胃十二指肠症状（功能性消化不良和恶心）以及肠道症状（腹痛、腹胀和便秘）。
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