Gastric surgery and restraint from food as triggering factors of eating disorders in morbid obesity

• Published in: The International journal of eating disorders Vol. 31; no. 1; pp. 97 - 100
• Main Authors: Guisado, Juan A., Vaz, Francisco J., López-Ibor, Juan J., Inés López-Ibor, M., del Río, Julia, Rubio, Miguel A.
• Format: Journal Article
• Language: English
• Published: New York John Wiley & Sons, Inc 01.01.2002; Wiley; Wiley Subscription Services, Inc
• Subjects: Adult; Anaphylaxis - diagnosis; Anaphylaxis - psychology; Anorexia Nervosa - diagnosis; Anorexia Nervosa - psychology; Biological and medical sciences; Body Image; Body Mass Index; Bulimia - diagnosis; Bulimia - psychology; Compulsive Personality Disorder - diagnosis; Compulsive Personality Disorder - psychology; Diet, Reducing - psychology; Eating disorders; Female; gastric surgery; Gastroplasty - psychology; Humans; Medical sciences; Obesity; Obesity, Morbid - psychology; Postoperative Complications - diagnosis; Postoperative Complications - psychology; Psychology; restraint from food; Risk Factors; Somatoform Disorders - diagnosis; Somatoform Disorders - psychology; Stomach; Stomach, duodenum, intestine, rectum, anus; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; triggering factors; Weight control; Weight Loss; Human; Stomach; Obesity; Nutrition disorder; Nutrient starvation; Eating disorder; Case study; Concomitant disease; Reduction method; Treatment; Surgery; Young adult; Nutritional status
• ISSN: 0276-3478; 1098-108X
• DOI: 10.1002/eat.1114

Obese patients may share some clinical features with anorexia nervosa patients because they risk developing an eating disorder when they diet. Methods and Results Some common etiological, psychological, and social factors have been proposed for both disorders. We present two cases of patients suffering from morbid obesity who, after weight loss, presented an intense fear of regaining weight and developed anorexic‐like symptoms. In the first case, the symptoms appeared after gastric reduction surgery. In the second case, a strict diet was the triggering factor. Discussion This paper stresses the need for psychiatric evaluation of all patients with morbid obesity who seek treatment in clinical settings, in order to identify the factors that may lead to psychiatric complications. © 2002 by John Wiley & Sons, Inc. Int J Eat Disord 31: 97–100, 2002.