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.


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

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.

Information NutriBib

Reference work for leading, current and selected literature in the field of clinical nutrition

Publications on clinical nutrition have grown steadily in recent years and the scientific evidence has been improved by numerous observational as well as intervention studies. Various umbrella organisations, such as the Swiss Society for Clinical Nutrition (GESKES), the German Society for Nutritional Medicine (DGEM) or the European Society for Clinical Nutrition and Metabolism (ESPEN) publish guidelines on nutrition in various clinical situations at regular intervals. Thus, a large amount of literature is available for evidence-based nutritional medicine.

The NutriBib aims to filter out authoritative publications in the various fields of nutritional medicine and thus to provide an overview of the abundance of literature. A large number of experienced nutrition experts contributed to the selection of relevant sources and allow a broadly based selection. Nevertheless, the literature selection cannot be considered exhaustive. Specific literature can be found by entering search words (using the magnifying glass at the top right) or by searching the table of contents.

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List of abbreviations

DGEM German Society for Nutritional Medicine (German Deutsche Gesellschaft für Ernährungsmedizin)
GESKES  Swiss Society for Clinical Nutrition (German Gesellschaft für klinische Ernährung der Schweiz) 
ESPEN European Society of Clinicl Nutrition and Metabolism