EDWARD S. WALKER, M.D.
To the editor: I write to report a case that calls attention to the possibility of an increased risk of cancer in persons with longstanding bulimia.
A 61-year-old white woman with anorexia and bulimia presented to me with the unusual complaint of "difficulty vomiting." She weighed less than 36.3 kg and reported daily self-induced vomiting since age 17. An upper gastrointestinal series showed a mass in the lower esophagus that endoscopy with biopsy showed to be adenocarcinoma. This less common form of esophageal cancer could have arisen from a Barrett's esophagus in which malignantly predisposed columnar epithelium is induced by
WALKER ES. Bulimia and Gastric Cancer. Ann Intern Med. 1985;103:305. doi: 10.7326/0003-4819-103-2-305_1
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Published: Ann Intern Med. 1985;103(2):305.
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