Medical Complications of Anorexia Nervosa

IF 3.4 Q2 Medicine Psychosomatics Pub Date : 2020-11-01 DOI:10.1016/j.psym.2020.06.020

Kamila Cass Ph.D. , Colleen McGuire M.D. , Ida Bjork B.A. , Nicole Sobotka B.A. , Kristine Walsh M.D. , Philip S. Mehler M.D.

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引用次数: 15

Abstract

Objective

The purpose of this study was to describe the medical complications of anorexia nervosa (AN) to enable a consult-liaison psychiatrist to be familiar with these complications when involved with the care of a hospitalized patient with AN.

Methods

Comprehensive PubMed search of English language publications of adult patients with AN was carried out using keywords, phrases, and medical subject headings of anorexia nervosa–medical complications, cardiac, osteoporosis, gastrointestinal, hematological, and endocrine. The database search was restricted by time of publication of studies from 2005 to 2020.

Results

Every organ system can be adversely affected by AN. Most are fully reversible with time and informed medical care. A multidisciplinary team is needed to optimally care for patients who are hospitalized as a result of the medical complications of their AN.

Conclusions

Consult-liaison psychiatrists are asked to help in the care of patients with AN who are admitted to a hospital because of a medical complication of their illness. Being familiar with these complications and their treatments will optimize their hospital stays and the care provided. In addition, involving other relevant ancillary services is an important care consideration.

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神经性厌食症的并发症

目的本研究的目的是描述神经性厌食症(AN)的医学并发症，使会诊联络精神科医生在参与治疗AN住院患者时熟悉这些并发症。方法采用神经性厌食症医学并发症、心脏、骨质疏松、胃肠、血液和内分泌的关键词、短语和医学主题词，对成人AN患者的英文出版物进行综合PubMed检索。数据库检索受限于研究发表时间为2005年至2020年。结果AN可对人体各器官系统产生不良影响。大多数是完全可逆的时间和知情的医疗护理。需要一个多学科的团队来最佳地照顾因其AN的医学并发症而住院的患者。结论:咨询联络精神科医生被要求帮助照顾因疾病并发症而入院的AN患者。熟悉这些并发症及其治疗方法将优化他们的住院时间和所提供的护理。此外，涉及其他相关辅助服务是一个重要的护理考虑因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychosomatics 医学-精神病学

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The mission of Psychosomatics is to be the leading psychiatry journal focused on the care of patients with comorbid medical and psychiatric illnesses. The scope of Psychosomatics includes original research, review articles and clinical reports that address psychiatric aspects of medical illnesses and their management. Areas of particular interest include: the effect of co-morbid psychiatric conditions on the management of medical illness; the psychiatric management of patients with comorbid medical illness; educational content for physicians and others specializing in consultation-liaison (C-L) psychiatry; and, the provision of psychiatric services to medical populations, including integrated care.