0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Purging and Calorie Absorption in Bulimic Patients and Normal Women

GEORGE W. BO-LINN, M.D.; CAROL A. SANTA ANA, B.S.; STEPHEN G. MORAWSKI, B.A.; and JOHN S. FORDTRAN, M.D.
[+] Article and Author Information

Presented in part in May 1982 at the Association of American Physicians Meeting, Washington, D.C. Published in abstract form in Clin Res 30:555A, 1982.

▸Requests for reprints should be addressed to George W. Bo-Linn, M.D.; Department of Internal Medicine, Baylor University Medical Center; Dallas, TX 75246.


Dallas, Texas


© 1983 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1983;99(1):14-17. doi:10.7326/0003-4819-99-1-14
Text Size: A A A

Self-induced purging with laxatives is common among bulimic persons, who assume that purging reduces intestinal absorption of ingested calories. However, the efficacy of purging in reducing calorie absorption has never been studied, probably because the standard calorie balance procedure is expensive and time consuming. With a recently devised method, calorie absorption during a single day was measured to determine to what extent Phenolphthalein or saline purge reduced calorie absorption. In two bulimic patients who regularly used laxatives for weight control and five normal young women, even extreme purging producing 4 to 6 L of diarrhea caused calorie absorption to decrease by only about 12% of calorie intake. The theoretical basis on which laxatives are taken for weight control is unsound.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)