Abstract
Pica, the compulsive ingestion of nonnutritive substances, has been a fascinating
and poorly understood phenomenon for centuries. Pagophagia, or ice eating, is one
of the most common forms of pica and is closely associated with the development of
iron-deficiency anemia. Although this condition has been well described among pregnant
women and malnourished children, particularly in developing countries, it has not
been previously reported to occur following gastric bypass surgery for treatment of
severe obesity. This article presents two cases of women who experienced a recurrence
of pagophagia following gastric bypass surgery, along with an updated review of the
literature.
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Biography
R. F. Kushner is a professor, Department of Medicine, and B. Gleason is a medical student, Northwestern University Feinberg School of Medicine, Chicago, IL.
Biography
R. F. Kushner is the medical director and V. Shanta-Retelny is a staff registered dietitian, Wellness Institute, Northwestern Memorial Hospital, Chicago, IL.
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© 2004 American Dietetic Association. Published by Elsevier Inc. All rights reserved.