Diagnostic dilemma of avoidant/restrictive food intake disorder after bariatric surgery: A case report and review of literature

doi:10.12998/wjcc.v13.i24.106941

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Aug 26, 2025 (publication date) through Jun 16, 2025

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Aug 26, 2025; 13(24): 106941
Published online Aug 26, 2025. doi: 10.12998/wjcc.v13.i24.106941

Diagnostic dilemma of avoidant/restrictive food intake disorder after bariatric surgery: A case report and review of literature

Kamila Cass, Adam Leggett, Dennis Glen Gibson

Kamila Cass, Adam Leggett, Dennis Glen Gibson, ACUTE Center for Eating Disorders and Severe Malnutrition, Denver Health, Denver, CO 80204, United States

Kamila Cass, Dennis Glen Gibson, Department of Medicine, University of Colorado School of Medicine, Aurora, CO 80045, United States

Author contributions: All authors were involved in the writing of this manuscript, final revision, and approve of the final manuscript.

Informed consent statement: Documentation of informed consent submitted, with file attached.

Conflict-of-interest statement: No conflict of interest for any of the authors.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Dennis Glen Gibson, MD, Associate Professor, ACUTE Center for Eating Disorders and Severe Malnutrition, Denver Health, 723 Delaware St., Pav M, Denver, CO 80204, United States. dennis.gibson@dhha.org

Received: March 11, 2025
Revised: April 15, 2025
Accepted: May 13, 2025
Published online: August 26, 2025
Processing time: 97 Days and 9.8 Hours

Core Tip

Core Tip: Eating behaviors after bariatric surgery may lack specific nomenclature and/or not meet the diagnostic criteria for the currently recognized feeding and eating behaviors in the Diagnostic and Statistical Manual, 5^th edition. Many individuals who have undergone bariatric surgery seemingly meet criteria for avoidant/restrictive food intake disorder but this diagnosis may not be considered due to the body dysmorphia that many individuals experience in relation to bariatric surgery. Improvements in the assessment and categorization of disordered eating habits following bariatric surgery are warranted to improve post-operative outcomes.