Refeeding Syndrome

Refeeding syndrome occurs in response to reintroduction of nutrition (whether enterally or parenterally) in the malnourished patient.

Rapid electrolyte and fluid Intracellular shifts in response to the surge of insulin brought on by the presence of nutrients which can lead to numerous medical complications and may progress to life-threatening outcomes, including Coma heart failure, and sudden death.

The hallmark biochemical feature of refeeding syndrome is hypophosphatemia. However, the syndrome is complex and may also feature abnormal sodium and fluid balance; changes in glucose, protein, and fat metabolism; thiamine deficiency; hypokalaemia; and hypomagnesaemia.

Pathogenesis (Howdoes refeeding syndrome develop?) 

Clinical Signs and Symptoms of Refeeding Syndrome

Patient populations at risk for refeeding syndrome  

Prevention and management of refeeding syndrome