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[Refeeding syndrome: practical issues].

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.
AuthorsM Buzzi, A Limonta, C Pichard, J Stirnemann
JournalRevue medicale suisse (Rev Med Suisse) Vol. 11 Issue 490 Pg. 1886, 1888-91 (Oct 14 2015) ISSN: 1660-9379 [Print] Switzerland
Vernacular TitleSyndrome de renutrition inappropriée: aspects pratiques.
PMID26665657 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Insulin
  • Thiamine
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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