A higher chance of occurrence has been reported for those who currently have or have a history of an eating disorder versus those who don’t have that history. A 23-year old woman was admitted with a chief complaint of acute abdominal pain with se-vere abdominal distension after a heavy meal. Rapid Overeating and Compensatory Behaviors in Eating Disorders, Eating Disorders Every Parent Should Know About, Eating Disorders Before and After Bariatric Surgery, Understanding the Binge-Purge Cycle in Bulimia, How Eating Disorders Are Treated When You Have BPD, How to Get Help When You Have an Eating Disorder and Are Suicidal, Reasons to Increase Food Variety in Eating Disorder Recovery, It's Now Easier to Be Diagnosed With an Eating Disorder, Why Intervention Is Necessary to Prevent Eating Disorder Deaths, Cognitive Behavioral Therapy for Eating Disorders. In most cases of acute massive gastric dilatation, surgery has been necessary to prevent or to treat the complications. Eventually, she resumed a typical diet and has since reported no problems. Binge episodes were often followed by compensatory behaviors including food restriction and excessive exercise. She said she had gone four years without bingeing but then went on a one-hour binge preceding this presentation brought on by alcohol intoxication and stress. Gastric necrosis following acute gastric dilatation (AGD) is rare. ... A SMAS may be precipitated by a binge-eating episode leading to an AGD. Overall, up to 20% of women are reported to have an eating disorder or disordered eating pattern. 2016;10(3). Acute gastric dilatation occurs due to delayed gastric emptying and when the stomach becomes over distended with food, the stomach loses the ability to empty its content resulting in obstruction of blood flow to the intestine leading to a dead gut and gastric rupture. Sometimes, it may lead to slight discomfort. 2017. Conclusion: Acute gastric dilatation is very uncommon and is of various etiologies, two of these being anorexia nervosa and bulimia. Daily Tips for a Healthy Mind to Your Inbox, Definition & Facts for Binge Eating Disorder, Gastric perforation caused by acute massive gastric dilatation: Report of a case, Gastric dilatation in a girl with former obesity and atypical anorexia nervosa, Massive gastric dilatation caused by eating binges demanding surgical intervention: A case report, Binge eating leading to acute gastric dilatation, inchemic necrosis and rupture—a case report. Acute Gastric Dilation Following Trauma: A Case Report. Physicians should be aware that binge eating habits may cause acute massive gastric dilatation in patients of normal weight who are not diagnosed as having a typical eating disorder. The sus-Dincel et al., Acute gastric dilatation due to a binge eating may be fatal 201 Figure 3. 2002;32(3):372-6. doi:10.1002/eat.10098, Lemke J, Scheele J, Schmidt S, Wittau M, Henne-Bruns D. Massive gastric dilatation caused by eating binges demanding surgical intervention: A case report. Please enable it to take advantage of the complete set of features! At the time of hospital admission, she had been experiencing daily binges (with purging) triggered by work stress. Laxative abuse can cause dehydration and electrolyte imbalance. But these assumptions aren't necessarily true. 2017 Sep 19;7(4):255-257. doi: 10.1080/20009666.2017.1356188. The patient fully recovered from surgery and psychiatric co-treatment was initiated.  |  GMS Interdiscip Plast Reconstr Surg DGPW, 2014;3. doi:10.3205/iprs000050, Dewangan M, Khare MK, Mishra S, Marhual JC. Despite presence of ischemia and gastric necrosis, conservative treatment was successful. tween acute gastric dilatation and acute pancreatitis. If you are someone who binges or if you have a loved one who binges, take steps to get help. Acute gastric dilation and necrosis from binge eating in anorexia nervosa. Acute gastric dilatation with necrosis is a rare complication of binge/purge subtype anorexia nervosa. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Acute massive gastric dilatation occurs when there is extreme distention or enlargement of the stomach. Int J Eat Disord. Pneumatosis of the esophagus and intestines with portal venous air: a rare presentation. People who binge should be cautious of fas… Prompt diagnosis of acute gastric dilatation and decompression of the stomach even when gastric ischemia and mucosal necrosis is present, may avoid unnecessary laparotomy. 2019 Aug 4;4(1):e13. 1, Fig. Several cases documenting complications of gastric dilatation were published; however, such severe complications, involving gastric infarction and compression of the aorta with ischemic injury of the bowels and lower extremities, are rare. The woman was suffering from a massive dilatation of her stomach. Medical intervention revealed that her gastric content included approximately two gallons of partially digested food. Esophageal and gastric rupture: Individuals who engage in binge eating are at risk for acute gastric dilatation. Though there are some factors that may increase your risk of experiencing the condition. She continued with psychiatric treatment that was initiated in the hospital. A rare complication of acute pancreatitis]. Distension of the upper stomach stimulates the secretion of stomach acid, while distension … Total gastrectomy performed in emergency conditions for gastric necrosis due to acute gastric dilatation. A 31-year-old woman presented to the emergency department with an acute onset of severe abdominal pain, vomiting and abdominal distension 2 hours after binge eating at buffet-style restaurant. Physiologic (normal) gastric distension occurs when eating. There can be sudden and severe consequences of bingeing. She had no history of abdominal surgery. These cases are just a few that have been reported in the medical literature. More research is needed to clarify the risks and causes of acute gastric dilatation. Though there is limited literature available, the case examples below illustrate the unexpected severity of acute massive gastric dilatation. HHS By using Verywell Mind, you accept our, Alli Spotts-De Lazzer, M.A., MFT, LPCC, CEDS, The Differences Between Binge Eating and Overeating. [Ischemic necrosis of the spleen and gastric fundus. The case is presented due to its rarity. Gastric volvulus, which is defined as abnormal torsion of the stomach, usually of more than 180°, also can be confirmed. eCollection 2017 Oct. J Community Hosp Intern Med Perspect. He had reportedly fasted about 24-hours for religious purposes. Psychiatric assessment revealed a borderline mentally retarded young man, but no current diagnosis of a typical eating disorder. Abdominal computed tomography established the diagnosis of acute massive gastric dilatation. J Med Cases. Method and Results. a rare case of gastric perforation caused by acute massive gastric dilatation after a binge-eating episode. But binge eating — an episode where overeating gets out of control — is different and can be serious. The case study authors note that the condition can occur even in those with no diagnosis of an eating disorder.. 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