Acute massive gastric dilation caused by binge eating

Binge eating (or binge eating) is defined as eating a large amount of food at a time and feeling as if you cannot control the amount of food you eat. Binge eating disorder is usually diagnosed when binge eating occurs at least once a week for three months.

Many people think that binge eating is a relatively benign eating disorder, especially when compared with severe dietary restrictions caused by anorexia or bulimia. Some people even think that isolated episodes of binge eating are not harmful.

But these assumptions are not necessarily correct. Among other health problems, a rare consequence of overeating may be acute massive gastric dilation, which can lead to extreme stomach dilation. If not quickly controlled, this situation may lead to death. It is important to understand this situation in order to fully grasp the effects of overeating and other disordered diets.

Definition of acute massive gastric dilatation

To understand acute massive gastric dilatation, it may be helpful to define key terms related to the condition:

  • Gastric dilatation Means the enlargement or swelling of the stomach
  • Ischemia Means insufficient blood flow
  • Necrosis Means “death”, such as cell death
  • perforation Means “tear”, usually in body tissues

Sometimes, the stomach may become so large that it occupies the abdominal area from the diaphragm to the pelvis and from the left side of the body to the right side of the body.

When the stomach is extremely dilated or enlarged, acute massive gastric dilation occurs.

Although this situation is rare, it can be encountered in several different situations. It may be a postoperative complication after abdominal surgery, and is sometimes seen in patients with diseases such as anorexia nervosa, bulimia nervosa, psychogenic polyphagia (extreme desire to eat), or trauma.

This condition is dangerous because it can cause gastric ischemia, necrosis, and perforation. In most cases of acute massive gastric dilation, surgery is necessary to prevent or treat complications. Early diagnosis and timely gastric decompression can avoid unnecessary surgery.

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Case example

Although the available literature is limited, the following case illustrates the unexpected severity of acute massive gastric dilatation. In these cases, the occurrence of binge eating has caused problems and triggered an urgent need for medical assistance.

Anorexia nervosa

Published medical records provide detailed information for people with a history of anorexia nervosa.The study author described a 26-year-old woman who came to the emergency room of Massachusetts General Hospital with symptoms including abdominal pain and nausea. She has been unable to vomit for two hours. Her weight is within the normal low body mass index range, and she is described as very thin.

At first, she reported that there were no obvious abnormal diets before the onset of pain. But she eventually revealed the past medical history of anorexia nervosa, including binge eating and washing during her teenage years. She said that she hadn’t overeated for four years, but before this speech, due to alcoholism and stress, she continued to overeating for an hour.

Medical intervention revealed that the contents of her stomach included approximately two gallons of partially digested food. She suffers from acute gastric dilatation with some necrosis-if not diagnosed and treated accurately and quickly, this can be fatal.

The stomach contents are removed surgically. The woman stayed in the hospital for five days and was still required to maintain a liquid diet after she was discharged. In the end, she resumed her typical diet and has not reported any problems since.

However, if she has no When she came to the emergency room that night when she was overeating, she might end up badly. The study authors pointed out in their report that early surgical intervention is essential to prevent fatal complications.

Overeating and excessive exercise

Another case report describes a 28-year-old woman who came to the emergency room with sudden abdominal discomfort and pain. The cause of symptoms was not reported on admission. Her weight is in the range of normal to low normal BMI.

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The woman’s stomach was severely dilated. She was admitted to the hospital and received intensive care. Medical evaluation shows that a large amount of undigested food needs to be removed by surgery.

The patient finally revealed a history of eating disorders since childhood. Compensatory behaviors often follow after overeating, including food restriction and excessive exercise. At the time of admission, she had been experiencing daily binge eating (accompanied by washing) caused by work pressure.

The woman was discharged 13 days after she first arrived at the hospital. She continued to receive the psychiatric treatment started in the hospital. The author of the report pointed out that in similar situations, some patients were unable to recover and died unfortunately. They confirmed the severity of this situation and the importance of adequate diagnosis and immediate surgical intervention.

No eating disorders

In 2016, medical experts published a report stating that a 17-year-old man had no history of eating disorders.The young man went to the hospital because of abdominal pain, bloating, and a period of retching without vomiting. According to reports, he fasted for approximately 24 hours for religious purposes. Then, he had a carnival-like dinner in the evening before receiving emergency medical treatment the next night.

Apart from abdominal problems, he was described as a “healthy boy”. But he suffers from acute gastric dilatation and avascular necrosis of the stomach wall. Medical intervention is required to remove approximately 5 liters of free fluid and undigested food from the abdominal cavity.

If the patient does not receive timely medical intervention, this event may lead to death. The author of the case study pointed out that this can happen even in people who have not been diagnosed with an eating disorder.

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These cases are only a few cases reported in the medical literature. But they are just a few of the many reasons for the dangers of overeating-even if only one incident is involved. They are also important reminders that medical intervention is the key to proper management and, in some cases, the key to survival.

Causes and risk factors

More research is needed to clarify the risks and causes of acute gastric dilatation. People of any weight may be prone to acute massive gastric dilatation. Although there are some factors that may increase your risk of developing this disease.

As mentioned above, uncontrolled overeating and overeating can put you at risk. Compared with those without a history of eating disorders, people who currently have or have a history of eating disorders report a higher rate of occurrence. People who overeating should pay attention to fasting and binge eating patterns accompanied by abdominal pain.

Warning signs of acute massive gastric dilation

The main symptoms to be aware of include:

  • Nausea
  • Vomit
  • Unable to vomit
  • Bloating/bloating
  • Sudden abdominal pain

If you notice any of these symptoms, immediate medical attention and treatment may be crucial. If massive gastric dilatation is suspected, surgery may be needed to avoid more serious complications, including necrosis, perforation, shock, and death.

Very good sentence

It is not uncommon to occasionally eat a little more than expected. Sometimes, it may cause slight discomfort. But binge eating—an episode of binge eating out of control—is different and can be serious. Overeating can have sudden and serious consequences.

If you are alcoholics or your loved ones drink alcohol, please take steps to seek help. You can help save lives by understanding this rare but potentially fatal situation. Fortunately, there are successful treatments for binge eating disorder.


Acute massive gastric dilation caused by binge eating
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