The International journal of eating disorders
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Case Reports
Portal hypertension in prolonged anorexia nervosa with laxative abuse: A case report of three patients.
There has been no report on portal hypertension related to anorexia nervosa (AN). ⋯ We speculated that abnormal eating and purging behaviors were involved in the development of portal hypertension. We hypothesized that long-term laxative abuse, dehydration, and abnormal eating behavior are involved in the development of portal hypertension, considering these were common features in our patients. Portal hypertension and gastroesophageal varices should be considered as one of the potentially existing complications in prolonged AN-BP with self-induced vomiting and abuse of irritating laxatives.