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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2021, Number 2

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Bol Clin Hosp Infant Edo Son 2021; 38 (2)

Metabolic and nutritional complications in adolescents with anorexia nervosa: Refeeding syndrome

Martínez-Ruiz ME, Enríquez-Robles V

Language: Spanish
References: 31
Page: 118-125
PDF size: 167.81 Kb.


ABSTRACT

Refeeding syndrome is a clinical manifestation that occurs in patients with severe malnutrition as a consequence of eating disorders such as anorexia nervosa, nutritional treatment, whether oral, enteral or parenteral. Occurs mainly in adolescent women between 15 and 19 years of age, this being the group that best responds to treatment and has the highest recovery rate and reincorporation to a normal diet. This syndrome occurs when, starting from a fasting state, food is reintroduced abruptly or with an inadequate distribution and brings clinical and biochemical consequences such as hypophosphatemia, hypokalemia, hypomagnesemia, rhabdomyolysis, respiratory failure and heart failure. The prevention of RS lies in the identification of risk factors and an adequate medical-nutritional approach to prevention based on the patient’s physical and nutritional status. The treatment aims to avoid more severe complications and restore the state of homeostasis. This syndrome is the consequence of affected nutritional support in a patient at risk of presenting it and there is no consensus on the most effective and safe treatment for weight restoration in hospitalized children and adolescents with anorexia nervosa.


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