title: Digestive complication in severe malnourished anorexia nervosa patient: a case report of necrotizing colitis.
abstract: BACKGROUND
  Necrotizing colitis (NC) represents a severe, although rare, complication in patients with anorexia nervosa.
  
  
  OBJECTIVE
  We report the only case of NC with good prognosis in a severely malnourished AN patient.
  
  
  METHODS
  Available patient records, imaging, and biochemical data were evaluated.
  
  
  CONCLUSIONS
  This case represents an unusual gastrointestinal complication and underlines the important clinical role that Parenteral Nutrition (PN) has for some selected very malnourished AN patients. The severe starvation may compromise the normal function of gastrointestinal tract and it can also lead to an incomplete tolerance of enteral refeeding thus making PN required to reach the nutritional rehabilitation.
authors: Gastroenterology and Nutrition Unit, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, Rome, Italy.
authors: Antonella
authors: A
authors: Diamanti
authors: Maria Sole
authors: MS
authors: Basso
authors: Claudio
authors: C
authors: Cecchetti
authors: Lidia
authors: L
authors: Monti
authors: Cristian
authors: C
authors: Noto
authors: Francesco
authors: F
authors: De Maria
authors: Massimo
authors: M
authors: Castro
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications*; D003092:Colitis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D044342:Malnutrition / Q000150:complications / Q000209:etiology; D009336:Necrosis; D010288:Parenteral Nutrition; D011379:Prognosis