Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1136/bcr.07.2008.0521 http://hdl.handle.net/11449/226422 |
Resumo: | Refeeding syndrome (RFS) has been well described but is also a frequently forgotten and undiagnosed complication in clinical practice, which, if untreated, may lead to death. Patients who are more prone to developing RFS are those with at least one of the following conditions: BMI <16 kg/m 2, a recent unintentional weight loss >15%, very little nutritional intake for >10 days, and/or low plasma concentrations of potassium, phosphate or magnesium before feeding; and those with at least two of the following conditions: BMI <18.5 kg/m2, a recent weight loss >10%, very little nutritional intake for >5 day, and/or a history of alcohol abuse or drug use, including insulin, chemotherapy or diuretics. We report here a patient who, after undergoing intestinal resection (short gut syndrome), presented diarrhoea, weight loss and protein-energy malnutrition. After nutritional assessment, the nutritional support team decided to feed the patient by the parenteral route. After 16 h of parenteral nutrition, the patient developed supraventricular tachycardia, hypomagnesaemia and hypocalcaemia, and RFS was diagnosed and managed. After intestinal adaptation, the patient is currently able to maintain his nutritional status with nutrition therapy by the oral route. |
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spelling |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal conditionRefeeding syndrome (RFS) has been well described but is also a frequently forgotten and undiagnosed complication in clinical practice, which, if untreated, may lead to death. Patients who are more prone to developing RFS are those with at least one of the following conditions: BMI <16 kg/m 2, a recent unintentional weight loss >15%, very little nutritional intake for >10 days, and/or low plasma concentrations of potassium, phosphate or magnesium before feeding; and those with at least two of the following conditions: BMI <18.5 kg/m2, a recent weight loss >10%, very little nutritional intake for >5 day, and/or a history of alcohol abuse or drug use, including insulin, chemotherapy or diuretics. We report here a patient who, after undergoing intestinal resection (short gut syndrome), presented diarrhoea, weight loss and protein-energy malnutrition. After nutritional assessment, the nutritional support team decided to feed the patient by the parenteral route. After 16 h of parenteral nutrition, the patient developed supraventricular tachycardia, hypomagnesaemia and hypocalcaemia, and RFS was diagnosed and managed. After intestinal adaptation, the patient is currently able to maintain his nutritional status with nutrition therapy by the oral route.Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Clínica Medica Divisão de Nutrologia, 6 Andar Hospital Das Clínicas, Avenida Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP 14049-900Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, Clínica Medica, Rubiao Jr, Sem número, Botucatu 18600-000Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Clínica Medica, 6 Andar Hospital Das Clínicas, Avenida Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP 14049-900Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, Clínica Medica, Rubiao Jr, Sem número, Botucatu 18600-000Universidade de São Paulo (USP)Universidade Estadual Paulista (UNESP)Machado, Juliana Deh Carvalho [UNESP]Suen, Vivian Marques MiguelChueire, Fernando BahdurMarchini, Julio Flávio MeirellesMarchini, Julio Sérgio2022-04-28T22:49:09Z2022-04-28T22:49:09Z2009-03-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1136/bcr.07.2008.0521BMJ Case Reports.1757-790Xhttp://hdl.handle.net/11449/22642210.1136/bcr.07.2008.05212-s2.0-79960221597Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMJ Case Reportsinfo:eu-repo/semantics/openAccess2024-08-14T17:36:52Zoai:repositorio.unesp.br:11449/226422Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:36:52Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
title |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
spellingShingle |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition Machado, Juliana Deh Carvalho [UNESP] |
title_short |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
title_full |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
title_fullStr |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
title_full_unstemmed |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
title_sort |
Refeeding syndrome, an undiagnosed and forgotten potentially fatal condition |
author |
Machado, Juliana Deh Carvalho [UNESP] |
author_facet |
Machado, Juliana Deh Carvalho [UNESP] Suen, Vivian Marques Miguel Chueire, Fernando Bahdur Marchini, Julio Flávio Meirelles Marchini, Julio Sérgio |
author_role |
author |
author2 |
Suen, Vivian Marques Miguel Chueire, Fernando Bahdur Marchini, Julio Flávio Meirelles Marchini, Julio Sérgio |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Machado, Juliana Deh Carvalho [UNESP] Suen, Vivian Marques Miguel Chueire, Fernando Bahdur Marchini, Julio Flávio Meirelles Marchini, Julio Sérgio |
description |
Refeeding syndrome (RFS) has been well described but is also a frequently forgotten and undiagnosed complication in clinical practice, which, if untreated, may lead to death. Patients who are more prone to developing RFS are those with at least one of the following conditions: BMI <16 kg/m 2, a recent unintentional weight loss >15%, very little nutritional intake for >10 days, and/or low plasma concentrations of potassium, phosphate or magnesium before feeding; and those with at least two of the following conditions: BMI <18.5 kg/m2, a recent weight loss >10%, very little nutritional intake for >5 day, and/or a history of alcohol abuse or drug use, including insulin, chemotherapy or diuretics. We report here a patient who, after undergoing intestinal resection (short gut syndrome), presented diarrhoea, weight loss and protein-energy malnutrition. After nutritional assessment, the nutritional support team decided to feed the patient by the parenteral route. After 16 h of parenteral nutrition, the patient developed supraventricular tachycardia, hypomagnesaemia and hypocalcaemia, and RFS was diagnosed and managed. After intestinal adaptation, the patient is currently able to maintain his nutritional status with nutrition therapy by the oral route. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-03-05 2022-04-28T22:49:09Z 2022-04-28T22:49:09Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1136/bcr.07.2008.0521 BMJ Case Reports. 1757-790X http://hdl.handle.net/11449/226422 10.1136/bcr.07.2008.0521 2-s2.0-79960221597 |
url |
http://dx.doi.org/10.1136/bcr.07.2008.0521 http://hdl.handle.net/11449/226422 |
identifier_str_mv |
BMJ Case Reports. 1757-790X 10.1136/bcr.07.2008.0521 2-s2.0-79960221597 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMJ Case Reports |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128202721198080 |