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KMID : 0816120090120010051
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2009 Volume.12 No. 1 p.51 ~ p.56
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A Refeeding Syndrome in the Treatment of Anorexia Nervosa Complicated by Spontaneous Gastric Rupture
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Song Eun-Jeong
Lee Gyeong-Hun
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Abstract
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We report a rare case of gastric perforation in a 13-year-old boy with anorexia nervosa. He was admitted to our hospital with the chief complaint of body weight loss. He had lower abdominal pain after 2 days. An abdominal CT revealed diffuse peritonitis. At laparotomy, the stomach was dilated and perforated. Postoperatively, the patient suffered from malnutrition. We monitored electrolytes, minerals, and fluids closely before and during the initiation of feedings to prevent morbidity and mortality associated with refeeding syndrome. We present an extremely rare complication that relates to this phenomenon, describing an acute gastric dilatation that led to gastric necrosis and perforation through an unusual mechanism in an extremely anorectic teenager during hospitalization for refeeding.
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KEYWORD
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Anorexia nervosa, Gastric perforation, Refeeding syndrome
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