Relembrar o sindrome de realimentação

  • Nuno Carvalho Assistente Hospitalar de Cirurgia Geral, Serviço de Cirurgia Geral – Hospital Garcia de Orta, Almada, Portugal
  • Manuela Coito Dietista, Serviço de Dietética – Hospital Garcia de Orta, Almada, Portugal
  • Rui Febre Consultor de Cirurgia Geral, Serviço de Cirurgia Geral – Hospital Garcia de Orta, Almada, Portugal
  • José Gonçalves Interno do Internato Complementar de Cirurgia Geral, Serviço de Cirurgia Geral – Hospital Garcia de Orta, Almada, Portugal
  • João Gíria Chefe de Serviço de Cirurgia Geral, Director de Serviço, Serviço de Cirurgia Geral – Hospital Garcia de Orta, Almada, Portugal

Abstract

The Refeeding Syndrome was described in adult survivors of concentration camps in 1945, and regained attention following introduction of total parenteral nutrition in the 1970s.

Refeeding syndrome is characterized by severe fluid and electrolytes shifts especially phosphate), associated with metabolic abnormalities in malnourished patients undergoing refeeding, whether orally, enterally, or parenterally.

Clinical features involve cardiac, neurologic, hematologic events and even sudden death.
It is not an uncommon entity and may be seen in 0,8 % of all hospitalized adult patients.
It is very important to be aware of the syndrome to prevent this potentially lethal condition: recognize those at risk; laboratory data must be monitored and abnormal values corrected accordingly; and finally, a slow increase in caloric delivery is recommended.

Not all clinics and institutions have nutritional support teams. So it is important to educate heath care practitioners to the potential danger of too aggressively refeeding a chronically malnourished patient – and so remember Refeeding Syndrome. 

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Published
2008-12-27
How to Cite
CARVALHO, Nuno et al. Relembrar o sindrome de realimentação. Revista Portuguesa de Cirurgia, [S.l.], n. 7, p. 23-27, dec. 2008. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/241>. Date accessed: 25 feb. 2024.
Section
Review Article