100 kg More or Less, Still the Same Person

(and Disorder): From Overweight to

Underweight—Exacerbation of an Eating Disorder
After Bariatric Surgery

Anne Lautenbach, MD1*

Ulrike Kulinna, MD1
Bernd Löwe, MD, PhD
 Four months later, the patient was admitted
again with symptoms of malabsorption as
described above. The overall weight loss at this
time point was 90 kg (57 kg, BMI 5 19.5 kg/m
undermines self-esteem and when coupled with
physical neglect and lack of nourishment may trig-
ger binge eating.21 In the context of adoption, the
early infantile lack of nourishment along with the
lack of attention to other physical needs could have
contributed to the underlying pathology and the
inability to admit the self-harming eating pattern.