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Refeeding syndrome (RFS) is a metabolic disturbance which occurs as a result of reinstitution of nutrition in people who are starved, severely malnourished, or ...
Such complications are suggested to be the main reason for mortality in people requiring long-term total parenteral nutrition, such as in short bowel syndrome. [31] In newborn infants with short bowel syndrome with less than 10% of expected intestinal length, thereby being dependent upon total parenteral nutrition, five-year survival is ...
It is important that physicians are aware of the signs of refeeding syndrome, as this can be life-threatening if not detected early. [23] Because a symptom of the RED-S is menstrual dysfunction, some physicians may recommend oral contraceptives because those pills will regulate the menstrual cycle. However, the underlying cause of the menstrual ...
In young children with severe acute malnutrition, it is unclear if ready-to-use therapeutic food differs from a normal diet. [168] Severely malnourished individuals can experience refeeding syndrome if fed too quickly. [169] Refeeding syndrome can result regardless of whether food is taken orally, enterally or parenterally. [169]
Patients that suffer from starvation can be treated, but this must be done cautiously to avoid refeeding syndrome. [24] Rest and warmth must be provided and maintained. Food can be given gradually in small quantities. The quantity of food can be increased over time. Proteins may be administered intravenously to raise the level of serum proteins ...
Refeeding must be done slowly to avoid refeeding syndrome. Once children start to recover, they should have more balanced diets that meet their nutritional needs. Children with marasmus commonly develop infections and are consequently treated with antibiotics or other medications.
Severe electrolyte imbalances must be treated carefully as there are risks with overcorrecting too quickly, which can result in arrhythmias, brain herniation, or refeeding syndrome depending on the cause of imbalance. [6] [7] [8]
Refeeding syndrome – This causes a demand for phosphate in cells due to the action of hexokinase, an enzyme that attaches phosphate to glucose to begin metabolism of glucose. Also, production of ATP when cells are fed and recharge their energy supplies requires phosphate.