Gastric adenocarcinoma mistakenly diagnosed as an eating disorder: case report.

Gastric adenocarcinoma mistakenly diagnosed as an eating disorder: case report.
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胃腺癌被误诊为饮食失调:病例报告。

DOI:
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发表时间:
2009
影响因子:
5.5
通讯作者:
Judith Fleming
Judith Fleming
中科院分区:
医学2区
文献类型:
--
作者:
Leit;Chia Huang;Judith Fleming

文献摘要

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OBJECTIVE A number of organic conditions may mimic the symptoms of an eating disorder, however, gastric outlet obstruction mimicking anorexia nervosa has rarely been reported. METHOD We report the case of a 51-year-old female admitted to an eating disorders unit with an initial diagnosis of anorexia nervosa. RESULTS The patient's upper gastrointestinal symptoms and weight loss were found to be secondary to gastric outlet obstruction from a gastric adenocarcinoma. Coincidental psychosocial stressors and past psychiatric history, among other factors, had confounded the diagnosis. DISCUSSION Organic causes of weight loss and upper gastrointestinal symptoms need to be fully excluded prior to making the diagnosis of an eating disorder, particularly when there are atypical features in the presentation.