Anorexia nervosa following gastric reduction surgery for morbid obesity

• Published in: The International journal of eating disorders Vol. 23; no. 1; pp. 111 - 116
• Main Authors: Atchison, M. (University of Adelaide, Adelaide, Australia.), Wade, T, Higgins, B, Slavotinek, T
• Format: Journal Article
• Language: English
• Published: New York Wiley Subscription Services, Inc., A Wiley Company 01.01.1998; Wiley; Wiley Subscription Services, Inc
• Subjects: Adult; Adult and adolescent clinical studies; Anorexia; Anorexia nervosa; Anorexia Nervosa - complications; Anorexia Nervosa - psychology; Antidepressive Agents, Tricyclic; Antidepressive Agents, Tricyclic - therapeutic use; Biological and medical sciences; CASE STUDIES; CLINICAL ASPECTS; complications; Depressive Disorder; Depressive Disorder - complications; Depressive Disorder - drug therapy; Depressive Disorder - psychology; DIAGNOSIS; DIAGNOSTIC; DIAGNOSTICO; Digestive system; Dothiepin; Dothiepin - therapeutic use; drug therapy; Eating behavior disorders; EATING DISORDERS; ESTOMAC; ESTOMAGO; ESTUDIOS DE CASOS PRACTICOS; ETUDE DE CAS; FACTEUR PSYCHOLOGIQUE; FACTORES PSICOLOGICOS; Female; FEMME; gastric reduction; Gastroplasty; Humans; Medical sciences; Middle Aged; morbid obesity; MUJERES; Obesity; Obesity, Morbid; Obesity, Morbid - complications; Obesity, Morbid - surgery; OPERACIONES QUIRURGICAS; OPERATION CHIRURGICALE; OVERWEIGHT; PSYCHOLOGICAL FACTORS; psychology; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; psychosocial factors; SOBREPESO; STOMACH; Stomach, duodenum, intestine, rectum, anus; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; SURGICAL OPERATIONS; SURPOIDS; therapeutic use; TRASTORNOS ALIMENTICIOS; TREATMENT; TROUBLE ALIMENTAIRE; WOMEN; Human; Stomach; Obesity; Open reduction; Nutrition disorder; Anorexia nervosa; Eating disorder; Case study; Treatment; Risk factor; Adult; Female; Nutritional status
• ISSN: 0276-3478; 1098-108X
• DOI: 10.1002/(SICI)1098-108X(199801)23:1<111::AID-EAT16>3.0.CO;2-4

Anorexia nervosa and morbid obesity are popularly considered to be opposite ends of the eating disorder spectrum. Research and clinical experience, however, suggest common psychological factors in a subgroup of obese people. This paper details case reports of two subjects who developed anorexia nervosa following gastric reduction surgery for morbid obesity. Clinical profiles, treatment, and outcome are reported. Psychological similarities between morbid obesity and anorexia nervosa in these subjects are explored. Implications for the selection of subjects for gastric reduction surgery and management after surgery are discussed