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Refeeding syndrome

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https://www.readbyqxmd.com/read/27909106/refeeding-syndrome
#1
Christian D Pulcini, Stacey Zettle, Arvind Srinath
No abstract text is available yet for this article.
December 2016: Pediatrics in Review
https://www.readbyqxmd.com/read/27875284/parenteral-nutrition-electrolyte-abnormalities-and-associated-factors-before-and-after-nutrition-support-team-initiation
#2
Katie Braun, Anne Utech, Maria Eugenia Velez, Renee Walker
BACKGROUND: Studied since the 1940s, refeeding syndrome still has no universal definition, thus making comparison of studies difficult. Negative outcomes (eg, metabolic abnormalities) may occur with the use of specialized nutrition, such as parenteral nutrition (PN). Less than half of medical institutions have a nutrition support team (NST) managing PN. Interdisciplinary team management of PN may reduce negative outcomes of PN. The objective of this study was to show the value of the NST by measuring differences in PN variables, especially electrolyte abnormalities (EAs), before and after NST initiation at a large medical center and to identify factors associated with EAs among adult subjects receiving PN...
October 18, 2016: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27851333/1698-refeeding-syndrome-in-pancreatic-exocrine-insufficiency-replacement-therapy
#3
Riley Jones, Long Vu, Haroon Ahmed, Edwin Hargitt, Kalpan Desai, Vishal Jivan
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27851272/1637-torsades-precipitated-by-refeeding-syndrome-a-case-report-abstract
#4
Joshua Da Silva
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27798779/expanding-the-differential-diagnosis-for-transaminitis-in-patients-with-anorexia-nervosa
#5
Adam C Nadelson, Victor D Babatunde, Eric U Yee, Vilas R Patwardhan
Aminotransferase elevations have been described in patients with anorexia nervosa. Hypothesized etiologies have included ischemic hepatitis, refeeding-induced transaminitis, and the process of autophagy. Supervised enteral nutrition is the mainstay of treatment for severe anorexia, but an increase in aminotransferase levels after initiation of enteral feeding presents clinicians with a diagnostic dilemma. We present a 31-year-old woman with anorexia nervosa (body mass index [BMI] of 13.5 kg/m(2)) who experienced a worsening of aminotransferase elevations even after the initiation of enteral feeding...
October 31, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27682582/incidence-and-risk-factors-of-refeeding-syndrome-in-head-and-neck-cancer-patients-an-observational-study
#6
Stine Ostenfeldt Rasmussen, Marianne Boll Kristensen, Irene Wessel, Jens Rikardt Andersen
This study aimed to determine the incidence rates of refeeding phenomena (defined as a decline in p-phosphate) and refeeding syndrome (RFS; defined as development of clinical symptoms in addition to a decline in p-phosphate) in head and neck cancer patients, and to identify risk factors. Fifty-four head and neck cancer patients referred for surgery were included. Forty-six potential risk factors were registered at the baseline, and p-phosphate was measured at Days 2, 4, and 7. Eleven patients (20%) developed RFS, and twenty-eight (52%) developed refeeding phenomena...
November 2016: Nutrition and Cancer
https://www.readbyqxmd.com/read/27544004/hyperglycemia-and-subsequent-torsades-de-pointes-with-marked-qt-prolongation-during-refeeding
#7
Takashi Nakashima, Tomoki Kubota, Nobuhiro Takasugi, Yuichiro Kitagawa, Takahiro Yoshida, Hiroaki Ushikoshi, Masanori Kawasaki, Kazuhiko Nishigaki, Shinji Ogura, Shinya Minatoguchi
OBJECTIVE: A fatal cardiac complication can occasionally present in malnourished patients during refeeding; this is known as refeeding syndrome. However, to our knowledge, hyperglycemia preceding torsades de pointes with QT prolongation during refeeding has not been reported. In the present study, we present a case in which hyperglycemia preceded torsades de pointes with QT prolongation during refeeding. The aim of this study was to determine the possible mechanism underlying QT prolongation during refeeding and indicate how to prevent it...
January 2017: Nutrition
https://www.readbyqxmd.com/read/27513485/-not-available
#8
José Manuel Marugán de Miguelsanz, María Del Carmen Torres Hinojal, María Soraya Geijo Uribe, María Paz Redondo Del Río, Beatriz Mongil López, Inés De Brito García-Sousa, Irene Caballero Sanz, José María Eiros Bouza
Anorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient treatment. However, current recommendations on initial energy requirements for these patients are inconsistent, with a clear lack of controlled studies, available scientific evidence and global consensus on the most effective and safe refeeding practices in hospitalized adolescents with anorexia nervosa (AN)...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27491261/-endocrine-and-metabolic-emergencies-points-of-initial-management-topics-vi-emergency-treatment-for-eating-disorders-and-refeeding-syndrome
#9
Mari Hotta Suzuki
No abstract text is available yet for this article.
April 10, 2016: Nihon Naika Gakkai Zasshi. the Journal of the Japanese Society of Internal Medicine
https://www.readbyqxmd.com/read/27452747/-prevention-and-management-of-refeeding-syndrome-in-patients-with-chronic-critical-illness
#10
Jun Chen, Chaogang Fan
Nutritional support is an important means to treat the patients with chronic critical illness for commonly associated malnutrition. Refeeding syndrome is a serious complication during the process, mainly manifested as severe electrolyte with hypophosphataemia being the most common. Refeeding syndrome is not uncommon but it is often ignored. In our future clinical work, we need to recognize this chinical situation and use preventative and treatment measures. According to NICE clinical nutrition guideline, we discussed the risk factors, treatment methods and preventive measures of refeeding syndrome in patients with chronic critical illness...
July 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27444457/-not-available
#11
José Manuel Marugán de Miguelsanz, María Del Carmen Torres Hinojal, María Soraya Geijo Uribe, María Paz Redondo Del Río, Beatriz Mongil López, Inés De Brito García-Sousa, Irene Caballero Sanz, José María Eiros Bouza
Anorexia nervosa (AN) is the most prevalent of eating disorders in children and adolescents, and its treatment is long and complex, involving a multidisciplinary team. Nutritional rehabilitation and restoration of a healthy body weight is one of the central goals in the initial stages of inpatient treatment. However, current recommendations on initial energy requirements for these patients are inconsistent, with a clear lack of controlled studies, available scientific evidence and global consensus on the most effective and safe refeeding practices in hospitalized adolescents with anorexia nervosa (AN)...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27412982/refeeding-syndrome-a-forgotten-and-potentially-lethal-entity
#12
Y Aissaoui, S Hammi, R Tagajdid, K Chkoura, M Boughalem
Refeeding syndrome (RS) is defined as the fluid, electrolyte, metabolic, and clinical disturbances that occur after nutrition of patients who have been undernourished or fasting for a prolonged period. This syndrome has been recognized for several decades but is most often overlooked and underdiagnosed by health professionals. The authors report a RS in a patient subjected to prolonged fasting after being kidnapped by a criminal gang. Refeeding resulted in severe hypophosphatemia, neurological impairments, and hematologic disorders...
May 1, 2016: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/27389547/febrile-neutropenia-and-refeeding-syndrome
#13
H K Jahn, S Barraclough, S Currell, M P Tighe
We describe the management of a 4-year-old child with acute lymphoblastic leukaemia (ALL) who presented with febrile neutropenia, Cryptosporidium and subsequently developed refeeding syndrome. Febrile neutropenia is common and can be life-threatening and we highlight the identification of well low-risk neutropenic children with resolved febrile illnesses suitable for early discharge. We also discuss the potential management strategies for Cryptosporidium Refeeding syndrome is not common, but should be considered as a cause of acute inpatient deterioration and is a significant risk, with potential morbidity, in children who have undergone a period of catabolism...
July 7, 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27381508/is-transthyretin-a-good-marker-of-nutritional-status
#14
S Dellière, L Cynober
The assay of plasma transthyretin (TTR), also known as prealbumin, is a key step in the assessment of nutritional status. However, it remains unclear whether it really is a useful nutrition marker, and when and how to use it and interpret TTR levels and variations. Risk of malnutrition, malnutrition severity, prognosis associated with malnutrition and effectiveness of refeeding are four parameters in nutritional assessment, and need clear separation to understand the associated utility of TTR. TTR does not have the same impact and potential on each of these parameters: it can be helpful but not essential for evaluating the risk of malnutrition, and it can diagnose malnutrition and its severity in patients with no inflammation syndrome...
June 20, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27379239/thiamine-deficiency-in-tropical-pediatrics-new-insights-into-a-neglected-but-vital-metabolic-challenge
#15
REVIEW
Laurent Hiffler, Benjamin Rakotoambinina, Nadia Lafferty, Daniel Martinez Garcia
In humans, thiamine is a micronutrient prone to depletion that may result in severe clinical abnormalities. This narrative review summarizes current knowledge on thiamine deficiency (TD) and bridges the gap between pathophysiology and clinical presentation by integrating thiamine metabolism at subcellular level with its function to vital organs. The broad clinical spectrum of TD is outlined, with emphasis on conditions encountered in tropical pediatric practice. In particular, TD is associated with type B lactic acidosis and classic forms of beriberi in children, but it is often unrecognized...
2016: Frontiers in Nutrition
https://www.readbyqxmd.com/read/27338666/daily-laboratory-monitoring-is-of-poor-health-care-value-in-adolescents-acutely-hospitalized-for-eating-disorders
#16
Kathryn K Ridout, Jonathan Kole, Kelly L Fitzgerald, Samuel J Ridout, Abigail A Donaldson, Brian Alverson
PURPOSE: This study investigates how the clinical practice guideline-recommended laboratory monitoring for refeeding syndrome impacts management and outcomes of adolescents with eating disorders hospitalized for acute medical stabilization and examines the value of laboratory monitoring (defined as the patient health outcomes achieved per dollar spent). METHODS: A retrospective chart review of medical admissions in a children's hospital between October 2010 and February 2014 was performed...
July 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27293884/higher-caloric-refeeding-is-safe-in-hospitalised-adolescent-patients-with-restrictive-eating-disorders
#17
Elizabeth K Parker, Sahrish S Faruquie, Gail Anderson, Linette Gomes, Andrew Kennedy, Christine M Wearne, Michael R Kohn, Simon D Clarke
Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations. Methods. Patients admitted to an adolescent ED structured "rapid refeeding" program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review. Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80...
2016: Journal of Nutrition and Metabolism
https://www.readbyqxmd.com/read/27289817/low-serum-phosphate-is-not-diagnostic-for-refeeding-syndrome-in-critical-care
#18
N Venugopal, P Turner, R Kolamunnage-Dono, C Downey, I D Welters
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27188310/hypertransaminasemia-and-hypophosphoremia-in-an-adolescent-with-anorexia-nervosa-an-event-to-watch-for
#19
Maria Rosaria Marchili, Elena Boccuzzi, Anna Chiara Vittucci, Lelia Rotondi Aufiero, Stefano Vicari, Alberto Villani
BACKGROUND: Anorexia Nervosa is a Psychiatric eating disorder of adolescence age with a high morbidity and mortality. CASE PRESENTATION: We describe a common case of anorexia nervosa (AN) in a female adolescent complicated by less known conditions related to refeeding syndrome. At admission, the girl showed a mild hypercholesterolemia with progressive normalization of the values. The initial low hypertransaminasemia worsened after refeeding until very high levels and hypophosphoremia was also described...
2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/27088791/-refeeding-syndrome
#20
Stanislav Ševela, František Novák, Antonín Kazda, Helena Brodská
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...
2016: Casopís Lékar̆ů C̆eských
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