title: [Refeeding syndrome: practical issues].
abstract: The refeeding syndrome is frequent and potentially deadly, still it is underdiagnosed. It is defined by clinical and biological manifestations that are seen upon refeeding of malnourished patients. It is the consequence of the transition from catabolism to anabolism. Ions intracellular shift caused by insulin and B1 vitamin deficiency are fundamental in the development of this syndrome. Riskconditions are well summarized by the NICE criteria. To avoid refeeding syndrome, it is fundamental to find and correct any electrolytic deficiency and to give thiamine before starting a slow and progressive oral, enteral or parenteral refeeding.
authors.forename: M
authors.initials: M
authors.lastname: Buzzi
authors.forename: A
authors.initials: A
authors.lastname: Limonta
authors.forename: C
authors.initials: C
authors.lastname: Pichard
authors.forename: J
authors.initials: J
authors.lastname: Stirnemann
mesh_terms: D004750:Enteral Nutrition / Q000379:methods*; D006801:Humans; D007328:Insulin / Q000378:metabolism; D010288:Parenteral Nutrition / Q000379:methods*; D055677:Refeeding Syndrome / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D012307:Risk Factors; D013831:Thiamine / Q000008:administration & dosage; D013832:Thiamine Deficiency / Q000150:complications
chemical_list: D007328:Insulin; D013831:Thiamine