Abdominal Aortic Blood Flow Disturbance Due to Binge Eating
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KeywordsAnorexia nervosa Binge eating
Aortic compression and occlusion secondary to acute gastric dilatation was initially reported in 2006 involving a 22-year-old female anorexic patient who developed acute gastric dilatation following a binge episode. In this case, there was a rapid return of the circulation after decompression of the stomach, the bowel appeared viable and the abdomen was closed. Unfortunately, the patient died 36 h after developing severe metabolic acidosis and disseminated intravascular coagulation secondary to reperfusion injury.1 In a similar case, there is report of survival by performing several intestinal resections after the initial gastric decompression surgery.2
We believe that it would have been difficult to save him. However, artificial dialysis or percutaneous cardiopulmonary support should have been instated.
All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept, design, analysis, writing, or revision of the manuscript. Furthermore, each author certifies that this material or similar material has not been and will not be submitted to or published in any other publication before its appearance in the Journal of Gastrointestinal Surgery.
Conception and design of study: T Maruyama, Y Yoshioka
Acquisition of data: T Maruyama, Y Yoshioka
Analysis and/or interpretation of data: T Maruyama, Y Yoshioka, S Suzuki
Drafting the manuscript: T Maruyama
Revising the manuscript critically for important intellectual content: Y Yoshioka, S Suzuki
Approval of the version of the manuscript to be published: T Maruyama, Y Yoshioka, S Suzuki