Schweckendiek Daniel, Pauli Dagmar, Scharl Michael
Klinik für Innere Medizin, Universitätsspital Zürich, Zürich, Schweiz.
Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Psychiatrische Universitatsklinik Zürich, Zürich, Schweiz.
Z Gastroenterol. 2023 Nov;61(11):1484-1493. doi: 10.1055/a-2010-3883. Epub 2023 May 8.
Eating disorders are potentially life-threatening disorders that go along with severe psychiatric and somatic comorbidities. It is expected that the number of patients will dramatically increase in the post COVID-19 pandemic era.Four main eating disorders are mentioned in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) and the International Classification of Diseases 11 (ICD-11): anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED) und avoidant restrictive food intake disorder (ARFID). Many traditional assumptions in eating disorders are currently challenged due to recent research results. The gastroenterologist is usually not the first point of contact for patients with eating disorders. However, he is crucial, especially in the management of gastroenterologic complications of eating disorders.Focus of the overview will be on relevant gastroenterologic aspects and less on the psychiatric treatment. Basics of the most common eating disorders will be repeated, opportunities in diagnosing an eating disorder and the most relevant gastroenterologic complications will be described. Obesity and its management, an entity that often goes along with an eating disorder, is not in the spotlight of the review.
饮食失调是可能危及生命的疾病，常伴有严重的精神和躯体合并症。预计在新冠疫情后时代，患者数量将大幅增加。《精神疾病诊断与统计手册》第5版（DSM-5）和《国际疾病分类》第11版（ICD-11）中提到了四种主要的饮食失调：神经性厌食症（AN）、神经性贪食症（BN）、暴饮暴食症（BED）和回避性限制性食物摄入障碍（ARFID）。由于最近的研究结果，饮食失调中的许多传统假设目前受到了挑战。胃肠病学家通常不是饮食失调患者的首要接触点。然而，他至关重要，尤其是在饮食失调的胃肠病并发症管理方面。综述的重点将放在相关的胃肠病学方面，而较少涉及精神治疗。将重复最常见饮食失调的基础知识，描述诊断饮食失调的机会以及最相关的胃肠病并发症。肥胖及其管理，这一常与饮食失调相伴的情况，不在本次综述的关注范围内。
