PT  - JOURNAL ARTICLE
AU  - Dasha Nicholls
AU  - Lee Hudson
AU  - Fermeda Mahomed
TI  - Managing anorexia nervosa
AID  - 10.1136/adc.2009.177394
DP  - 2011 Oct 01
TA  - Archives of Disease in Childhood
PG  - 977--982
VI  - 96
IP  - 10
4099  - http://adc.bmj.com/content/96/10/977.short
4100  - http://adc.bmj.com/content/96/10/977.full
SO  - Arch Dis Child2011 Oct 01; 96
AB  - Clinical confidence and coordinated multidisciplinary care can influence the course of anorexia nervosa in children and adolescents. Sicker and younger patients with anorexia nervosa often present first to a paediatrician, requiring early recognition and appropriate management. Paediatric knowledge and skills are also needed to manage the impact of eating disorders on growth and development. This review provides practical guidance on the management of anorexia nervosa for paediatricians, in the areas of assessment, acute management and re-feeding, and long-term monitoring. In the absence of a strong evidence base for some of these recommendations, local protocols based on best practice guidelines can reduce anxiety, increase cooperation and reduce risk.