| Bulimia. An underlying behavioral disorder in hyperlipidemic pancreatitis: a prospective multidisciplinary approach. | |
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MedLine Citation:
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PMID: 3827458 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1978 and 1985, we conducted a prospective study of 21 patients who survived several attacks of pancreatitis and were diagnosed as having primary hyperlipidemia. None of the patients suffered from chronic alcoholism, primary diabetes, or cholelithiasis or was receiving prolonged steroid therapy. Lowering of plasma lipid values toward normal was achieved in all patients following a program of combined dietary and drug (bezafibrate) therapy. Five patients had recurrent episodes of pancreatitis during the treatment program. These patients were diagnosed subsequently as suffering from bulimia and were all given cognitive behavioral therapy. One patient died following an attack of pancreatitis. An underlying eating disorder should be suspected in patients who relapse after treatment for pancreatitis and hyperlipidemia. Multidisciplinary treatment should be used in these patients to improve therapeutic efficacy and uncover behavioral patterns that have a direct impact on their life expectancy. |
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Authors:
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D Gavish; S Eisenberg; E M Berry; Y Kleinman; E Witztum; J Norman; E Leitersdorf |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of internal medicine Volume: 147 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1987 Apr |
Date Detail:
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Created Date: 1987-04-22 Completed Date: 1987-04-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 705-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bezafibrate / therapeutic use Bulimia / complications* Cholesterol / blood Female Humans Hyperlipidemias / diet therapy, drug therapy, psychology* Lipoprotein Lipase / blood Male Middle Aged Pancreatitis / etiology* Prospective Studies Triglycerides / blood |
| Chemical | |
Reg. No./Substance:
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0/Triglycerides; 41859-67-0/Bezafibrate; 57-88-5/Cholesterol; EC 3.1.1.34/Lipoprotein Lipase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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