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Endocrinol Nutr 2004;51:336-42 - DOI: 10.1016/S1575-0922(04)74624-0
Síndrome de realimentación
Refeeding syndrome
D. Bellidoa,, , M. Martínez-Olmosb
a Servicio de Endocrinología y Nutrición. Hospital Juan Canalejo. La Coruña. España
b Sección de Endocrinología y Nutrición. Hospital du Meixoeiro. Vigo. Pontevedra. España
Recibido 02 febrero 2004, Aceptado 01 marzo 2004

The refeeding syndrome is a common clinical syndrome that typically occurs in sub nourished patients upon commencement of nutrition by oral, enteral or intravenous route. Intravenous saline-dextrose solutions can also precipitate refeeding syndrome. Now is more frequent in elderly patients with poor intake for 10 days would be at high risk upon reinstituting nutrition and nervosa anorexia. The base of treatment is prevention. Complications in starving and malnourished patients can be detrimental to their health and ultimately life-threatening. The most common electrolyte derangements associated are hypophosphatemia and hypokaliemia. Correction with a potassium phosphate solution is convenient and safe.

Palabras clave
Síndrome de realimentación, Hipofosfatemia, Hipopotasemia, Hipomagnesemia
Key words
Refeeding syndrome, Hypophosphatemia, Hypokaliemia, Hypomagnesemia
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Correspondencia: Dr. D. Bellido. Hospital, 29-31, 4.° A. 15401 Ferrol. La Coruña. España. (D. Bellido diego_bellido@arrakis.es)
Copyright © 2004. Sociedad Española de Endocrinología y Nutrición