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Refeeding syndrome in childhood


Authors: E. Karásková 1;  D. Vydra 1;  V. Smolka 1;  M. Véghová-Velgáňová 1;  O. Tkachyk 1;  L. Ťoukálková 2;  V. Mihál 1
Authors‘ workplace: Dětská klinika LF UP a FN, Olomoucpřednosta prof. MUDr. V. Mihál, CSc. 1;  Dětské oddělení, Krajská nemocnice T. Bati, Zlínprimářka MUDr. L. Svitálková 2
Published in: Čes-slov Pediat 2014; 69 (6): 363-369.
Category: Review

Overview

Refeeding syndrome is a complex of metabolic abnormalities that arises as a result of too rapid initial phase of realimentation for chronic and/or sever malnourished patients. It is necessary to think about the possibility of refeeding syndrome in these cases, monitor the patient at the start of realimentation, administer reduced doses of the nutrition and adequately substitute deficient substrates as recommended.

Key words:
refeeding syndrome, malnutrition, hypophosphatemia


Sources

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11. Brown KA, Dickerson RN, Morgan LM, et al. A new graduated dosing regimen for phosphorus replacement in patients receiving nutrition support. JPEN J Parenter Enteral Nutr 2006 May-Jun; 30 (3): 209–214.

12. Braegger C, Decsi T, Dias JA, et al. ESPGHAN Committee on Nutrition: Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2010 Jul; 51 (1): 110–122.

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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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