Abstract | BACKGROUND: METHODS: RESULTS: A total of 36 cases were identified. Approximately half of the cases (47.2%) were correlated with eating disorders, with higher prevalence in females (69%) and a very high mortality rate (41.6%). Amongst the 36 cases, sodium bicarbonate ingestion was associated with 10 cases. The lesser curvature (36.1%) and anterior wall (33.3%) are the most common sites of rupture. Associated causes include binge-eating, gas release from sodium bicarbonate, gastric content fermentation, proximal and distal outlet obstruction, and muscular atony. DISCUSSION: Sudden distension and impaired emptying mechanism of the stomach is necessary for spontaneous gastric rupture to occur. Acute gastric dilatation with perforation requires definitive surgical management. There should be a low threshold of suspicion for patients presenting with severe abdominal pain and abdominal distension following an episode of binge-eating. There is a need for patient education around the use of over-the-counter medications or home remedies.
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Authors | You Jin Han, Susmit Roy, Ashley Maria Pei Ling Siau, Adeeb Majid |
Journal | Journal of eating disorders
(J Eat Disord)
Vol. 10
Issue 1
Pg. 157
(Nov 09 2022)
ISSN: 2050-2974 [Print] England |
PMID | 36348449
(Publication Type: Journal Article)
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Copyright | © 2022. The Author(s). |