This complication has also been described in anorexia nervosa during the course of refeeding. (94) The patient develops copious vomiting, upper abdominal pain, distension of the upper abdomen, and rapid dehydration. Treatment is by continuous gastric aspiration, and this complication is one of the rare indications for intravenous infusions of glucose and saline. Gastric dilation is best prevented by avoiding a food intake above 2000 cal daily during the first week of refeeding.
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