Abstract |
The refeeding syndrome is frequent and potentially deadly, still it is underdiagnosed. It is defined by clinical and biological manifestations that are seen upon refeeding of malnourished patients. It is the consequence of the transition from catabolism to anabolism. Ions intracellular shift caused by insulin and B1 vitamin deficiency are fundamental in the development of this syndrome. Riskconditions are well summarized by the NICE criteria. To avoid refeeding syndrome, it is fundamental to find and correct any electrolytic deficiency and to give thiamine before starting a slow and progressive oral, enteral or parenteral refeeding.
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Authors | M Buzzi, A Limonta, C Pichard, J Stirnemann |
Journal | Revue medicale suisse
(Rev Med Suisse)
Vol. 11
Issue 490
Pg. 1886, 1888-91
(Oct 14 2015)
ISSN: 1660-9379 [Print] Switzerland |
Vernacular Title | Syndrome de renutrition inappropriée: aspects pratiques. |
PMID | 26665657
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Enteral Nutrition
(methods)
- Humans
- Insulin
(metabolism)
- Parenteral Nutrition
(methods)
- Refeeding Syndrome
(diagnosis, physiopathology, therapy)
- Risk Factors
- Thiamine
(administration & dosage)
- Thiamine Deficiency
(complications)
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