Jeejeebhoy K N
Nutrition and Digestive Disease Program, St. Michael's Hospital, and the University of Toronto, Ontario, Canada.
Semin Gastrointest Dis. 1998 Oct;9(4):183-8.
The prevalence of eating disorders, such as anorexia nervosa, is increasing in young adults, particularly young adult women. Sometimes, gastrointestinal complaints in patients with anorexia nervosa may lead to an erroneous diagnosis of gastrointestinal disease and unnecessary diagnostic studies and therapies. In contrast, patients with gastrointestinal disease may experience anorexia because of abdominal pain and other gastrointestinal symptoms induced by eating. In these patients, anorexia minimizes symptoms and can obscure the underlying gastrointestinal disease by "resting" the bowel. Therefore, a careful history and physical examination and laboratory tests are needed to make the correct diagnosis and begin appropriate treatment.
诸如神经性厌食症等饮食失调症在年轻人，尤其是年轻成年女性中的患病率正在上升。有时，神经性厌食症患者的胃肠道不适可能会导致对胃肠疾病的误诊以及不必要的诊断性检查和治疗。相比之下，胃肠疾病患者可能会因进食引起的腹痛和其他胃肠道症状而出现厌食。在这些患者中，厌食会使症状减轻，并通过使肠道“休息”而掩盖潜在的胃肠疾病。因此，需要仔细询问病史、进行体格检查和实验室检查，以做出正确诊断并开始适当治疗。
