The importance of body weight history in the occurrence and recovery of osteoporosis in patients with anorexia nervosa: evaluation by dual X-ray absorptiometry and bone metabolic markers

Abstract Background Superior mesenteric artery (SMA) syndrome is a well-known but relatively rare complication of anorexia nervosa. Although several reports have proposed surgery for SMA syndrome associated with anorexia nervosa, these have shown poor outcomes or did not reveal the long-term weight course. Thus, the long-term effectiveness of surgery for SMA syndrome in such cases remains unclear. This case report describes a patient with anorexia nervosa who underwent surgery for SMA syndrome. Case presentation An 18-year-old woman presented with anorexia nervosa when she was 16 years old. She also presented with SMA syndrome, which seemed to be caused by weight loss due to the eating disorder. Nutrition therapy initially improved her body weight, but she ceased treatment. She reported that symptoms related to SMA syndrome had led to her weight loss and desired to undergo surgery. Laparoscopic duodenojejunostomy was performed, but her body weight did not improve after the surgery. The patient eventually received conservative nutritional treatment along with psychological approaches, which led to an improvement in her body weight. Conclusions The case implies that surgery for SMA syndrome in patients with anorexia nervosa is ineffective for long-term weight recovery and that conservative treatment can sufficiently improve body weight; this is consistent with the lack of evidence on the topic and reports on potential complications of surgery. Due to difficulties in assessing psychological status, consultation with specialists on eating disorders is necessary for treating patients with severely low body weight.

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Interrelationships of body weight and bone weight with densitometric properties of tibiotarsal bone in geese during post-hatching development

Veterinární Medicína ◽

10.17221/8582-vetmed ◽

2017 ◽

Vol 60 (No. 12) ◽

pp. 682-690

Author(s):

A. Charuta ◽

MR Tatara ◽

M. Dzierzecka ◽

E. Polawska ◽

I. Ptaszynska-Sarosiek

Keyword(s):

Computed Tomography ◽

Body Weight ◽

Correlation Coefficient ◽

Quantitative Computed Tomography ◽

Peripheral Quantitative Computed Tomography ◽

Dual Energy ◽

X Ray ◽

Males And Females ◽

Different Parts

The aim of this study was to evaluate interrelationships of body weight and bone weight and densitometric properties of the tibiotarsus in White Koluda Geese (W31) in the post-hatching period. The study was performed using dual-energy X-ray absorptiometry (DEXA) and peripheral quantitative computed tomography (pQCT) at two different parts of tibia: proximal metaphysis and mid-diaphysis. The investigation was performed on 100 bones obtained from males and females at the age of 1, 14, 28, 42 and 56 days of life. All the calculations were performed using the Statistica 9.0 software (StatSoft, Inc. Tulsa, USA). Pearson’s correlation coefficient of body weight and bone weight with all the investigated variables of bone was determined. Depending on the method used for densitometric measurements – DEXA or pQCT, the current study has revealed significant differences in the number of correlations of bone weight and body weight with the evaluated densitometric parameters. Sex-related differences in the investigated interrelationships were also found. In the case of proximal epiphysis, negative correlations of vBMD, tBMC, CTR_DEN and CRT_CNT with body weight and bone weight dominated in one-day-old males. Based on the current observations and the negative correlations of body weight and vBMD, CRT_DEN and TRAB_DEN obtained in the mid-diaphysis of tibiotarsus at the age of 14 days of life, it was concluded that this bone is much more prone to deformations and fractures in males than in females.

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