title: [Non-erosive gastroesophageal reflux disease in a teenager misdiagnosed as anorexia nervosa].
abstract: A middle school girl started a diet; she developed an eating disorder, and was diagnosed with anorexia nervosa. Endoscopic examination revealed no esophagitis due to gastric reflux, but slackness was seen in the cardiac region. Multichannel intraluminal impedance pH monitoring revealed marked non-acidic reflux. On the basis of positive symptom index (SI) and symptom association probability (SAP) values, the patient was diagnosed with non-erosive gastroesophageal reflux. The patient was afraid to eat because of the reflux; therefore, laparoscopic reflux prevention surgery was performed. The symptoms completely disappeared after surgery, and normal oral ingestion was possible.
authors.affiliation: Department of Surgery, the Jikei University School of Medicine.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Akimoto
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Yano
authors.forename: Kazuto
authors.initials: K
authors.lastname: Tsuboi
authors.forename: Masato
authors.initials: M
authors.lastname: Hoshino
authors.forename: Nobuo
authors.initials: N
authors.lastname: Omura
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis*; D003951:Diagnostic Errors; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis*; D006801:Humans