Skip to main content Skip to main navigation menu Skip to site footer
International Journal of Nutrology
Articles
DOI: 10.1055/s-0040-1705068
Submitted: 02-05-2022
Published: 02-06-2022

Síndrome de realimentação em pacientes hospitalizados: série de casos e revisão da literatura

Hospital de Base do Distrito Federal, Brazil
Equipe NUTEP de Terapia Nutricional do Hospital Brasília, DF, Brazil
Refeeding Syndrome Malnutrition Hypophosphatemia

Abstract

Refeeding syndrome (RS) is an underdiagnosed complication of nutrologicaltherapy in which multiple systems can be affected, including cardiovascular, respiratory, hematological, musculoskeletal, and neurological. Some key features are fluid overload, decrease in serum electrolyte levels mainly the ones with intracellular predominance (phosphorus, magnesium and potassium), altered glucose metabolism (hyperglycemia) and vitamin and trace element deficiency. The aim of this manuscriptis to conduct a brief report of four cases and review the literature correlating it with the cases described.

Metrics

Metrics Loading ...

References

  1. BoatengAA,Sriram K. Refeeding syndrome: Treatment considerations based on collective analysis of literature case reports. Nutrition2010;26:156-167.
  2. Mehanna HM. Refeeding syndrome: what it is, and how to prevent and treat it. BMJ 2008; 33:1495-98.
  3. Brozek J, Chapman CB, Keys A. Drastic food restriction: effect on cardiovascular dynamics in normotensive and hypertensive conditions. J Am Med Assoc 1948; 137: 1569-1574.
  4. Schnitker MA.; Mattman PE.; Bliss TL. A clinical study of malnutrition in Japanese prisoners of war. Ann Intern Med1951; 35:69–96.
  5. Crook MA. Refeeding syndrome: Problems with definition and management. Nutrition 2015; 30: 1448-1455.
  6. Rio A.; Whelan K. Occurrence of refeeding syndrome in adults started on artificial nutrition support: prospective cohort study. BMJ Open 2013; 3: e002173.
  7. Camp MA, Allon M. Severe hypophosphatemia in hospitalisedpatients.Miner Electrolyte Metab1 990;16:365-8.
  8. Marik PE, Bedigan MK.Refeedinghypophosphataem iainanintensive care unit: a prospective study. ArchSurg 1996; 131:1043-7.
  9. White, JV, Consensus Statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition). JPEN 2012; 6: 275-283.
  10. National Institute forHealth and Clinical Excellence. Nutrition support in adults. Clinical guideline CG32. 2006. ww.nice.org.uk/page.aspx?o=cg032
  11. Stanga Z, Brunner A, Leuenberger M, Grimble RF. Nutrition in clinical practice-the refeeding syndrome: illustrative cases and guidelines for prevention and treatment. European Journal of Clinical Nutrition (2008) 62,687–694.
  12. Dieu-Thu Nguyen-Khoa. Beriberi (Thiamine Deficiency) Clinical Presentation. Medscape, 2014 – Internet
  13. Kagansky N, Levy S. Hypophosphataemia in old patients is associated with the refeeding syndrome and reduced survival. Journal of Internal Medicine 2005; 257: 461–468.
  14. Zeki S, Culkin A, Gabe SM, Nightingale JM. Refeeding hypophosphataemia is more common in enteral than parenteral feeding in adult in patients. ClinNutr 2011;30:365–8.
  15. Gonzalez AG.; Fajardo RA.; Gonzalez FE. The incidence of the refeeding syndrome in cancer patients who receive artificial nutritional treatment. NutrHosp 1996; 11: 98–101.
  16. Lampl C, Yazdi K. Central pontine myelinolysis. Eur. Neurol. 2002;47:3–10.
  17. American Dietetic Association position statement: nutritional intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders. J Am Diet Assoc 2006; 106(12):2073-2082.
  18. O’Connor G, Nicholls D, MD. Refeeding Hypophosphatemia in Adolescents With Anorexia Nervosa: A Systematic Review. Nutrition in Clinical Practice 2013; 28: 358-364

How to Cite

Caldas, A. C., & Alves, J. T. M. (2022). Síndrome de realimentação em pacientes hospitalizados: série de casos e revisão da literatura. International Journal of Nutrology, 8(2), 22–29. https://doi.org/10.1055/s-0040-1705068