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The identification of children and adolescents with bulimia nervosa (BN) or syndromes including binge-eating has been an area of development in recent years. This chapter reviews this increasingly important area, providing an overview of the nature of these phenomena, risk factors for their development and the medical complications of these disorders. Few clinical research studies have specifically focused on the medical complications of binge eating disorder (BED) and BN in children and adolescents. Abnormalities of fluids and electrolytes, most commonly hypokalaemia, are found in children and adolescents with BN. Cardiovascular abnormalities occur in adolescents with BN and cause significant morbidity and mortality. Gastrointestinal complications occur frequently and are a major source of morbidity for patients with BN. Binge eating can result in gastric dilatation, necrosis and perforation. The chapter has attempted to provide a comprehensive review of the nature of BN and binge-eating symptoms in children and adolescents.
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