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Do patients with bulimia need regular endoscopic surveillance?

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Do patients with bulimia need regular endoscopic surveillance?

Some patients with Bulimia sustain Mallory-Weiss tears and have oesphagitis from frequent vomiting. Any patient with Bulimia who has complications from their vomiting (eg haematemesis or chest pain) should be investigated appropriately by upper endoscopy, but only those patients who have damage to their oesophagus (severe ulceration or Barrett’s oesophagus) would need ongoing surveillance.