Refeeding syndrome in children with different clinical aetiology

Krleža, Jasna Leniček; Mišak, Zrinjka; Jadrešin, Oleg; Škarić, Ivančica

doi:10.1038/ejcn.2013.58

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…Mechanical ventilation and inotropic agents were started; however, the patient died 2 days later with multiple‐organ failure 81 . Additional cases of RS in pediatric patients with celiac disease have been described 82,83 …”

Section: Populations Potentially At Risk For Refeeding Syndromementioning

confidence: 94%

ASPEN Consensus Recommendations for Refeeding Syndrome

Silva¹,

et al. 2020

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Introduction In the spring of 2017, the American Society for Parenteral and Enteral Nutrition (ASPEN) Parenteral Nutrition Safety Committee and the Clinical Practice Committee convened an interprofessional task force to develop consensus recommendations for identifying patients with or at risk for refeeding syndrome (RS) and for avoiding and managing the condition. This report provides narrative review and consensus recommendations in hospitalized adult and pediatric populations. Methods Because of the variation in definitions and methods reported in the literature, a consensus process was developed. Subgroups of authors investigated specific issues through literature review. Summaries were presented to the entire group for discussion via email and teleconferences. Each section was then compiled into a master document, several revisions of which were reviewed by the committee. Findings/Recommendations This group proposes a new clinical definition, and criteria for stratifying risk with treatment and screening strategies. The authors propose that RS diagnostic criteria be stratified as follows: a decrease in any 1, 2, or 3 of serum phosphorus, potassium, and/or magnesium levels by 10%–20% (mild), 20%–30% (moderate), or >30% and/or organ dysfunction resulting from a decrease in any of these and/or due to thiamin deficiency (severe), occurring within 5 days of reintroduction of calories. Conclusions These consensus recommendations are intended to provide guidance regarding recognizing risk and identifying, stratifying, avoiding and managing RS. This consensus definition is additionally intended to be used as a basis for further research into the incidence, consequences, pathophysiology, avoidance, and treatment of RS.

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Section: Populations Potentially At Risk For Refeeding Syndromementioning

confidence: 94%

ASPEN Consensus Recommendations for Refeeding Syndrome

Silva¹,

et al. 2020

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“…Agarwal et al reported five pediatric patients [ 7 ]. Recently, Lenicek et al reported another pediatric case [ 8 ]. These patients showed a severely malnourished celiac disease with a BMI of less than 14, a hypophosphatemia, a hypocalcaemia, and a hypokalemia.…”

Section: Discussionmentioning

confidence: 99%

Refeeding syndrome in adults with celiac crisis: a case report

Hammami¹,

Aref²,

Khalfa³

et al. 2018

J Med Case Reports

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BackgroundRefeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease.Case presentationWe report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock.ConclusionsRefeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis.

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“…As shown in Table 1 , caloric content and osmolality of Terumeal-mini are approximately 1.5 times that of Ensure Liquid. In children, refeeding syndrome may develop without clinical signs, detectable only through laboratory findings [ 10 ]. The total calorie intake of Terumeal-mini at 320 kcal/day was not significantly greater in this patient than the previous calorie intake of 300 kcal/day.…”

Section: Discussionmentioning

confidence: 99%

Enteral Nutrition Related Complications Relevant to Alteration of Formulas in Two Critically Ill Pediatric Patients

Akuzawa

Takeuchi

Tsukagoshi

et al. 2013

Gastroenterology Research

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The early institution of enteral nutrition is associated with beneficial outcomes and intestinal growth in pediatric patients. However, the number, frequency, and types of unfavorable events occurring with particular formulas are undefined. We experienced unexpected complications in two cases following a change in formula. One case diagnosed with myotubular myopathy experienced highly-increased gastric residuals and watery diarrhea leading to decreased calorie intake and weight loss. The second case with campomelic dysplasia suffered liver dysfunction and fever. In both cases, symptoms developed soon after of the change in formula and improved after resumption of the previous formula. Both cases had undergone tracheostomy and artificial ventilation, and had a history of feeding the same formula for an extended period of time. In chronic care patients such as ours, a change in formula may cause unexpected adverse events; therefore, caution is warranted.

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Refeeding syndrome in children with different clinical aetiology

Cited by 9 publications

References 7 publications

ASPEN Consensus Recommendations for Refeeding Syndrome

ASPEN Consensus Recommendations for Refeeding Syndrome

Refeeding syndrome in adults with celiac crisis: a case report

Enteral Nutrition Related Complications Relevant to Alteration of Formulas in Two Critically Ill Pediatric Patients

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