Basics in Clinical Nutrition: Refeeding Syndrome
e-SPEN. 2010 Jun 1; 5(3):E146-E147. doi: 10.1016/j.eclnm.2009.06.012. Epub 2009 Aug 25.
Sobotka, L.
Abstract
Learning objectives
- To identify the patients who are at risk of refeeding syndrome
- To understand the etiology of refeeding syndrome
- To now methods of prevention and treatment of refeeding syndrome
Summary
The refeeding syndrome is a complication of nutritional support in severely malnourished patients (anorexia nervosa, cancer, IBD, SBS, elderly alcoholism, etc). Its features are salt and water retention and depletion of potassium, magnesium and phosphate with a decrease in their serum levels during enteral or parenteral realimentation. In can be associated with high morbidity and mortality, especially when it is not diagnosed. Knowledge of this complication is, therefore essential for its prevention, recognition, and treatment.