RT Journal Article
SR Electronic
T1 Managing anorexia nervosa
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 977
OP 982
DO 10.1136/adc.2009.177394
VO 96
IS 10
A1 Nicholls, Dasha
A1 Hudson, Lee
A1 Mahomed, Fermeda
YR 2011
UL http://adc.bmj.com/content/96/10/977.abstract
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.