{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:05:05Z","timestamp":1753869905304,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Bulimia nervosa (BN) and the binge\u2010eating\/purging subtype of anorexia nervosa (b\/p AN) are characterized by binge eating and unsafe compensatory behaviors, such as laxatives or diuretic abuse, self\u2010induced vomiting, and excessive exercise. BN often causes miscellaneous physical complications that can lead to death. However, there have been very few prior reports on the physical complications of chronic BN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>We report a case of chronic BN of over 10 years. Her compensatory behaviors caused dehydration more easily than before. Repeated dehydration may result in end\u2010stage renal disease (ESRD). Therefore, we had to prevent dehydration by placing a percutaneous endoscopic gastrojejunostomy (PEG\u2010J) tube. After PEG\u2010J placement, dehydration did not reoccur, thereby protecting her renal involvement from progressing to ESRD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Chronic BN exposure may cause repeated dehydration with time. Therefore, the PEG\u2010J tube would be effective in preventing dehydration, which leads to ESRD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pcn5.63","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T12:19:57Z","timestamp":1669897197000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevention of end\u2010stage renal disease with percutaneous endoscopic gastrojejunostomy tubes in a patient with recurrent episodes of binge eating and purging"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5191-2275","authenticated-orcid":false,"given":"Kazuhito","family":"Takahashi","sequence":"first","affiliation":[{"name":"Department of Psychiatry Shinshu University School of Medicine  Matsumoto Nagano Japan"},{"name":"Department of Psychiatry Ritsuzankai Iida Hospital  Iida Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Nagano Red Cross Hospital  Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3450-7283","authenticated-orcid":false,"given":"Daimei","family":"Sasayama","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Shinshu University School of Medicine  Matsumoto Nagano Japan"},{"name":"Department of Child and Adolescent Developmental Psychiatry Shinshu University School of Medicine  Matsumoto Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Washizuka","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Shinshu University School of Medicine  Matsumoto Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0044-4"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-007294"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.164.1.80"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20198"},{"volume-title":"StatPearls","year":"2022","author":"Hitawala AA","key":"e_1_2_12_6_1"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_8_1","first-page":"1009","article-title":"Bulimia nervosa","volume":"2010","author":"Hay PJ","year":"2010","journal-title":"BMJ Clin Evid"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1258\/acb.2011.011185"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.15847"},{"issue":"4","key":"e_1_2_12_11_1","first-page":"431","article-title":"Chronic anorexia nervosa: enteral nutrition via percutaneous endoscopic gastrostomy and liaison psychiatry","volume":"52","author":"Malfi G","year":"2006","journal-title":"Minerva Gastroenterol Dietol"}],"container-title":["Psychiatry and Clinical Neurosciences Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pcn5.63","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pcn5.63","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pcn5.63","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T06:32:22Z","timestamp":1697178742000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pcn5.63"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,30]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1002\/pcn5.63"],"URL":"https:\/\/doi.org\/10.1002\/pcn5.63","archive":["Portico"],"relation":{},"ISSN":["2769-2558","2769-2558"],"issn-type":[{"type":"print","value":"2769-2558"},{"type":"electronic","value":"2769-2558"}],"subject":[],"published":{"date-parts":[[2022,11,30]]},"assertion":[{"value":"2022-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e63"}}