To the Editor.—We read with great interest the recent article "Acute Gastric Necrosis in Anorexia Nervosa and Bulimia."1 We concur that the rupture of the stomach, due to acute gastric dilatation, is a serious complication in the patient with anorexia nervosa or bulimia, and that the condition can be recognized and conservatively treated earlier to avoid irreversible damage to the gastric wall.
There was a citation of report of "patients with anorexia nervosa demonstrating significantly slower gastric emptying rates than normal controls for both liquid and solids" by Russell2 and Holt et al.3 We would like to present our gastric emptying data using technetium Tc 99m—labeled triethylene tetramine polystyrene resin in patients with anorexia nervosa and bulimia. These data deviated from the above-mentioned reports. The results of studies of 26 patients with anorexia nervosa indicated that only 50% had a prolonged gastric emptying time (GET); another