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Medientyp: E-Artikel Titel: Vomiting and feeling fat—Coincidence of achalasia and bulimia nervosa Beteiligte: Teufel, Martin; Lamprecht, Georg; Zipfel, Stephan; Schrauth, Markus; Rapps, Nora; Martens, Ute; Gross, Gaby Erschienen: Wiley, 2009 Erschienen in: International Journal of Eating Disorders Sprache: Englisch DOI: 10.1002/eat.20582 ISSN: 1098-108X; 0276-3478 Schlagwörter: Psychiatry and Mental health Entstehung: Anmerkungen: Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective:</jats:title><jats:p>In clinical practice it is often difficult to distinguish between organic and psychological vomiting.</jats:p></jats:sec><jats:sec><jats:title>Method:</jats:title><jats:p>We present a case of a 34‐year‐old woman with an 18‐month history of vomiting with the initial diagnosis of bulimia nervosa (BN). However, the patient showed an unusual vomiting behavior. Therefore, further somatic diagnostic procedures were carried out leading to the additional diagnosis of achalasia. After successful interventional and surgical treatment for achalasia, further psychotherapeutic interventions were necessary because of worsening of the BN symptoms. A certain disturbed eating behavior seemed to persist at 3‐year follow‐up, while the medical condition had improved.</jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p>It needs to be emphasized that careful diagnostic steps are indispensable to distinguish between psychological vomiting and organic vomiting. In case of two separate diseases a suitable treatment regime for each is required. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009</jats:p></jats:sec>