Refeeding syndrome
Authors:
MUDr. Stanislav Ševela; MUDr. Ph.D. František Novák; prof. MUDr. DrSc. Antonín Kazda; MUDr. Ph.D. Helena Brodská
Authors‘ workplace:
IV. interní klinika 1. LF UK a VFN v Praze
1; Ústav lékařské biochemie a laboratorní diagnostiky 1. LF UK a VFN v Praze
2
Published in:
Čas. Lék. čes. 2016; 155: 88-94
Category:
Review Articles
Overview
Despite being known more than 60 years, refeeding syndrome (RS) still bears many uncertainties. For example, its definition is not clear and definite, and the attitude to it varies from the complete neglect to over-prevention.
The term "refeeding syndrome" refers to electrolyte and metabolic changes occurring in malnourished patients after the readministration of nutrition. These changes concern especially to phosphates and ions. Potassium, magnesium, naturism and fluids balance are involved. The changes lead to cell energetic metabolism and electric potential disturbances, with related clinical symptoms.
Fully developed refeeding syndrome is quite rare; nevertheless it can be fatal for the patient. However, even its development can lead to many complications increasing the patient's morbidity and the length of stay in the hospital. Yet the refeeding syndrome is more or less predictable and if kept in mind also preventable.
The aim of this article is to get the reader to know more about this metabolic phenomenon and possible attitudes towards it.
Keywords:
malnutrition, realimentation, hypophosphataemia, refeeding syndrome
Sources
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