Document Detail


The refeeding syndrome and glucose load.
MedLine Citation:
PMID:  20127933     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: A 10-year-old girl with anorexia nervosa developed the refeeding syndrome following cautious reintroduction of nutrition, emphasizing that even with cautious refeeding a shift in fluid, glucose, and electrolytes can still occur, increasing the risk of morbidity and mortality in this ever growing vulnerable group.
METHOD: Biochemical, nutritional, and anthropometrical monitoring in the patient, who followed a conservative refeeding program after a prolonged period of nutritional inadequacy.
RESULTS: The refeeding syndrome presented itself with hypophosphatemia, hypotension, and cardiac abnormalities whilst refeeding at 25 kcal/kg (600 kcal/day).
DISCUSSION: Comprises of a literature review, highlighting this case as the youngest reported case of refeeding syndrome in anorexia nervosa. Discussion focuses on the possible deleterious affects that carbohydrates may have in exacerbating the refeeding syndrome. © 2010 by Wiley Periodicals, Inc.
Authors:
Graeme O'Connor; Jonathon Goldin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  44     ISSN:  1098-108X     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  182-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2009 Wiley Periodicals, Inc.
Affiliation:
Division of Nutrition and Dietetics, Great Ormond Street Children's Hospital, London, United Kingdom. graeme.oconnor@nhs.net.
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