Revista Clínica Española Revista Clínica Española
Rev Clin Esp 2005;205:79-86 - Vol. 205 Núm.2 DOI: 10.1157/13072501
Síndrome de realimentación. Revisión
Refeeding syndrome. A review
J L. Temprano Ferrerasa, I. Bretón Lesmesb, C. de la Cuerda Compésb, M. Camblor Álvarezb, A. Zugasti Murillob, P. García Peris
a Servicio de Endocrinología. Hospital Clínico Universitario de Salamanca. Salamanca.
b Unidad de Nutrición. Hospital General Universitario Gregorio Marañón. Madrid.
Resumen
Refeeding syndrome is a complex clinical picture that encompass all those alterations that can occur as a consequence of the nutritional support (oral, enteral or parenteral) in malnourished patients. Refeeding syndrome is classically characterized by neurological alterations, respiratory symptoms, cardiac arrhythmias and heart failure few days after beginning of refeeding, with life-threatening outcome. Its pathogenesis includes alterations in the corporal fluids, and in some electrolytes, minerals and vitamins. In this article a review of refeeding syndrome pathogenesis and clinical manifestations is carried out, with a final series of recommendations for lowering the risk of this syndrome and for facilitate the early diagnosis and the treatment.
Palabras clave
síndrome de realimentación, hipofosfatemia, hipopotasemia, hipomagnesemia, tiamina
Keywords
refeeding syndrome, hypophosphatemia, hypokalemia, hypomagnesemia, thiamine
Rev Clin Esp 2005;205:79-86 - Vol. 205 Núm.2 DOI: 10.1157/13072501