Prophylactic supplementation of phosphate, magnesium, and potassium for the prevention of refeeding syndrome in hospitalized individuals with anorexia nervosa

2021 ◽  
Author(s):  
Donna Gallagher ◽  
Anna Parker ◽  
Hamed Samavat ◽  
Rena Zelig
Keyword(s):  
Anorexia Nervosa ◽  
Refeeding Syndrome ◽  
Phosphate Magnesium

OP004 MYOCARDIAL DYSFUNCTION ASSOCIATED WITH REFEEDING SYNDROME (RS) IN SEVERELY MALNOURISHED ANOREXIA NERVOSA (AN) PATIENTS

2011 ◽  
Vol 6 (1) ◽  
pp. 2
Author(s):  
M.G. Hanachi-Guidoum ◽  
A. Kimmoun ◽  
A. Fayssoil ◽  
M. Antona ◽  
J.C. Melchior ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Myocardial Dysfunction ◽  
Refeeding Syndrome

scholarly journals Avoiding deaths in hospital from anorexia nervosa: the MARSIPAN project

2012 ◽  
Vol 36 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Paul Robinson
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Adult Patients ◽  
Refeeding Syndrome ◽  
The Family ◽  
Key Issues ◽  
Medical Teams ◽  
Medical Wards

SummaryThe MARSIPAN (MAnagement of Really SIck Patients with Anorexia Nervosa) project was established in response to reports of patients admitted to medical wards and proving refractory to treatment, sometimes dying on the ward. Psychiatrists, physicians and other clinicians in nutrition and eating disorders were brought together to discuss key issues in the assessment and management of such patients. The resulting guidance report, which applies to adult patients over 18, addresses: assessment of risk, where to treat the patient, specialist support for medical teams, key elements of treatment, namely (a) safe refeeding to avoid refeeding syndrome and underfeeding syndrome, (b) management of problematic behaviours, (c) support for the family, and (d) transfer to a specialist eating disorder unit when appropriate and possible.

scholarly journals Refeeding syndrome and infective complications in patients with anorexia nervosa

2010 ◽  
Vol 69 (OCE2) ◽  
Author(s):  
A. N. De Silva ◽  
K. H. Smith ◽  
F. W. Thursby-Pelham ◽  
T. R. Smith ◽  
M. A. Stroud
Keyword(s):  
Anorexia Nervosa ◽  
Refeeding Syndrome ◽  
Infective Complications

scholarly journals A case of refeeding syndrome in pregnancy with anorexia nervosa

2017 ◽  
Vol 11 (2) ◽  
pp. 95-97 ◽  
Author(s):  
Hiroaki Soyama ◽  
Morikazu Miyamoto ◽  
Takahiro Natsuyama ◽  
Masashi Takano ◽  
Hidenori Sasa ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Cesarean Section ◽  
Calorie Restriction ◽  
Caloric Intake ◽  
Primiparous Woman ◽  
Refeeding Syndrome ◽  
Additional Risk ◽  
Severe Fatigue ◽  
Electrolyte Replacement ◽  
In Pregnancy

Refeeding syndrome very rarely develops during pregnancy. A 35-year-old primiparous woman pregnant with twins complained of severe fatigue at 19 weeks’ gestation. She was admitted to our hospital in a malnourished condition because of repeated self-induced vomiting due to anorexia nervosa. Just after hospitalization, she voluntarily increased her caloric intake significantly above the recommended prescribed diet, without medical permission. Nine days later, she developed refeeding syndrome. Electrolyte replacement and calorie restriction were started and her condition gradually improved. The healthy twin babies were born by cesarean section at 36 weeks’ gestation. Acute increases in caloric intake by previously malnourished pregnant women with anorexia nervosa may induce refeeding syndrome. Women with the binge eating/purging subtype of anorexia nervosa may be at additional risk due to alternating phases of starvation and overeating.

Avoiding refeeding syndrome in anorexia nervosa

2017 ◽  
Vol 41 (S1) ◽  
pp. S547-S547
Author(s):  
D. Brigadeiro ◽  
J. Nunes ◽  
T. Ventura Gil ◽  
P. Costa
Keyword(s):  
Anorexia Nervosa ◽  
Carbohydrate Metabolism ◽  
Potassium Phosphate ◽  
Enzymatic Reactions ◽  
Refeeding Syndrome ◽  
Glucose Levels ◽  
Korsakoff Syndrome ◽  
Extracellular Compartment ◽  
Life Threatening ◽  
Competing Interest

The term refeeding syndrome has been used to describe the adverse consequences that can occur in all malnourished patients in the early stages of nutrition repletion whether the method of refeeding is oral, enteral or parenteral. Those consequences include acute thiamine deficiency resulting in Wernicke's encephalopathy and Korsakoff syndrome, with the potential for permanent cognitive impairment; hypophosphatemia, hypokalemia, hypomagnesemia and fluid overload resulting in cardiac failure. Adaptive changes in metabolism occur during a period of starvation or fasting: levels of glucose fall within 24 to 72 hours, as response, glucagon levels rise and insulin concentrations decrease. Glucose levels are maintained by glycogenolysis at first and gluconeogenesis latter. The reintroduction of nutrition leads to a switch from fat to carbohydrate metabolism and an increase of insulin concentration. Insulin stimulates the movement of potassium, phosphate, and magnesium into the cell leading to its depletion in extracellular compartment. Reactivation of carbohydrate metabolism increases degradation of thiamine, a cofactor required for cellular enzymatic reactions in Kreb's cycle. Deficiency in all these nutrients can then occur. Patients with anorexia nervosa are at risk of suffering from refeeding syndrome. This psychiatric disorder causes potentially life-threatening, physical complications and has the highest mortality rate among psychiatric disorders. The purpose of this review is to clarify recommendations for prevention and treatment of refeeding syndrome in anorexia nervosa.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Centropontine Myelinolysis Related to Refeeding Syndrome in an Adolescent Suffering from Anorexia Nervosa

2012 ◽  
Vol 43 (03) ◽  
pp. 152-154 ◽  
Author(s):  
Sandrine Leroy ◽  
Ariel Gout ◽  
Beatrice Husson ◽  
Renault de Tournemire ◽  
Marc Tardieu
Keyword(s):  
Anorexia Nervosa ◽  
Refeeding Syndrome

scholarly journals Anorexia Nervosa—What Has Changed in the State of Knowledge about Nutritional Rehabilitation for Patients over the Past 10 Years? A Review of Literature

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3819
Author(s):  
Katarzyna Jowik ◽  
Marta Tyszkiewicz-Nwafor ◽  
Agnieszka Słopień
Keyword(s):  
Anorexia Nervosa ◽  
Healing Process ◽  
Caloric Intake ◽  
Current Treatment ◽  
Review Of Literature ◽  
Nutritional Rehabilitation ◽  
Long Term Effects ◽  
Refeeding Syndrome ◽  
The Past ◽  
Potential Benefits

Anorexia nervosa (AN) is a psycho-metabolic disorder with a high risk of somatic complications such as refeeding syndrome (RFS) and carries the highest mortality rate of all psychiatric illnesses. To date, the consensus on the care for patients with AN has been based on recommendations for a combination of alimentation and psychotherapy. It is important to establish an initial caloric intake that will provide weight gain and minimize the risk of complications in the treatment of undernourished patients. Research over the past few years suggests that current treatment recommendations may be too stringent and should be updated. The aim of this paper is to systematize the current reports on nutritional rehabilitation in AN, to present the results of studies on the safe supplementation of patients and its potential impact on improving prognosis and the healing process. This review of literature, from 2011–2021, describes the changing trend in the nutritional protocols used and the research on their efficacy, safety, and long-term effects. In addition, it presents previous reports on the potential benefits of introducing vitamin, pro-and prebiotic and fatty acid supplementation.

scholarly journals Cardiac Arrest and Successful Extracorporeal Cardiopulmonary Resuscitation as a Result of a Refeeding Syndrome in a Young Female with Anorexia Nervosa

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Daniela Waddell ◽  
Felix Meincke ◽  
Samer Hakmi ◽  
Hendrick van der Schalk ◽  
Niklas Schenker ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Anorexia Nervosa ◽  
Cardiopulmonary Resuscitation ◽  
Young Female ◽  
Left Ventricular ◽  
Refeeding Syndrome ◽  
Extracorporeal Cardiopulmonary Resuscitation ◽  
Severe Left Ventricular Dysfunction ◽  
First Case ◽  
Life Threatening

Anorexia nervosa is a potentially life-threatening eating disorder, characterized by an abnormally low body weight. This case report illustrates a 22-year old female with cardiac arrest due to a refeeding syndrome in a patient with anorexia nervosa. It features the successful use of extracorporeal cardiopulmonary resuscitation in a case of severe left ventricular dysfunction resulting in a favorable outcome. Conclusion. We present the first case of a cardiac arrest due to a refeeding syndrome in anorexia nervosa featuring the successful use of an extracorporeal cardiopulmonary resuscitation approach as a bridge to full recovery.

Sign in / Sign up

Export Citation Format

Share Document