Refeeding syndrome. Pathophysiology, risk factors, prevention, and treatment
Wirth R, Diekmann R, Janssen G, Fleiter O, Fricke L, Kreilkamp A, Modreker MK, Marburger C, Nels S, Pourhassan M, Schaefer R, Willschrei HP, Volkert D (2018)
Publication Status: Published
Publication Type: Journal article
Publication year: 2018
Journal
Publisher: SPRINGER HEIDELBERG
Book Volume: 59
Pages Range: 326-333
Journal Issue: 4
DOI: 10.1007/s00108-018-0399-0
Abstract
Refeeding syndrome is a life-threatening complication that may occur after initiation of nutritional therapy in malnourished patients, as well as after periods of fasting and hunger. Refeeding syndrome can be effectively prevented and treated if its risk factors and pathophysiology are known. The initial measurement of thiamine level and serum electrolytes, including phosphate and magnesium, their supplementation if necessary, and a slow increase in nutritional intake along with close monitoring of serum electrolytes play an important role. Since refeeding syndrome is not well known and the symptoms can be extremely heterogeneous, this complication is poorly recognized, especially against the background of severe disease and multimorbidity. This overview aims to summarize the current knowledge and increase awareness about refeeding syndrome.
Authors with CRIS profile
Involved external institutions
Franziskus Hospital Bielefeld
Germany (DE)
Ruhr-Universität Bochum (RUB)
Germany (DE)
Klinikum Oldenburg
Germany (DE)
Malteser Kliniken Rhein-Ruhr
Germany (DE)
Marien-Krankenhaus Bergisch Gladbach
Germany (DE)
Hochtaunus-Kliniken
Germany (DE)
Klinikum Christophsbad Göppingen
Germany (DE)
Sana HANSE-Klinikum Wismar GmbH
Germany (DE)
Sankt Katharinen-Krankenhaus
Germany (DE)
Germany (DE)
Ruhr-Universität Bochum (RUB)
Germany (DE)
Klinikum Oldenburg
Germany (DE)
Malteser Kliniken Rhein-Ruhr
Germany (DE)
Marien-Krankenhaus Bergisch Gladbach
Germany (DE)
Hochtaunus-Kliniken
Germany (DE)
Klinikum Christophsbad Göppingen
Germany (DE)
Sana HANSE-Klinikum Wismar GmbH
Germany (DE)
Sankt Katharinen-Krankenhaus
Germany (DE)
How to cite
APA:
Wirth, R., Diekmann, R., Janssen, G., Fleiter, O., Fricke, L., Kreilkamp, A.,... Volkert, D. (2018). Refeeding syndrome. Pathophysiology, risk factors, prevention, and treatment. Internist, 59(4), 326-333. https://doi.org/10.1007/s00108-018-0399-0
MLA:
Wirth, Rainer, et al. "Refeeding syndrome. Pathophysiology, risk factors, prevention, and treatment." Internist 59.4 (2018): 326-333.
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