Understanding, prevention and treatment of refeeding syndrome. The role of thiamine

Refeeding syndrome (RFS) is a serious and potentially fatal complication that occurs in patients with severe malnutrition of various etiologies after repeated, uncontrolled introduction of a diet, especially carbohydrates. Complications of RFS develop due to rapid metabolic changes that occur during...

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Autores principales:	Dina Ljubas Kelečić, Darija Vranešić Bender, Željko Krznarić
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	refeeding syndrome – complications physiopathology prevention and control therapy; malnutrition – metabolism therapy; nutritional support – adverse effects; hypophosphatemia – complications etiology therapy; thiamine – physiology therapeutic use; thiamine deficiency – complications therapy; magnesium deficiency – therapy; hypokalemia – therapy; wernicke encephalopathy – etiology Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/19daedf29f8948a78f990551ef9108b0
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spelling	oai:doaj.org-article:19daedf29f8948a78f990551ef9108b02021-12-03T09:21:00ZUnderstanding, prevention and treatment of refeeding syndrome. The role of thiamine10.26800/LV-143-3-4-80024-34771849-2177https://doaj.org/article/19daedf29f8948a78f990551ef9108b02021-04-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/razumijevanje-prevencija-i-lijecenje-refeeding-sindroma-uloga-tiamina/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Refeeding syndrome (RFS) is a serious and potentially fatal complication that occurs in patients with severe malnutrition of various etiologies after repeated, uncontrolled introduction of a diet, especially carbohydrates. Complications of RFS develop due to rapid metabolic changes that occur during the switch from catabolism to anabolism, and cellular depletion of phosphorus, potassium, magnesium and micronutrients, and can affect one or more organ systems. Most of RFS complications associated with vitamin deficiency are related to thiamine deficiency. Due to its coenzyme role in the metabolism of carbohydrates and branched chain amino acids, thiamine is an important factor in maintaining the normal function primarily of cerebral energy metabolism. Understanding the basic biochemistry during starvation, and consequently the mechanisms and factors influencing metabolic changes during RFS, is important for timely identification of patients at risk and prevention of RFS and also many clinical complications it can cause regardless of nutritional support modality.Dina Ljubas KelečićDarija Vranešić BenderŽeljko KrznarićHrvatski liječnički zborarticlerefeeding syndrome – complicationsphysiopathologyprevention and controltherapy; malnutrition – metabolismtherapy; nutritional support – adverse effects; hypophosphatemia – complicationsetiologytherapy; thiamine – physiologytherapeutic use; thiamine deficiency – complicationstherapy; magnesium deficiency – therapy; hypokalemia – therapy; wernicke encephalopathy – etiologyMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 3-4, Pp 120-129 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	refeeding syndrome – complications physiopathology prevention and control therapy; malnutrition – metabolism therapy; nutritional support – adverse effects; hypophosphatemia – complications etiology therapy; thiamine – physiology therapeutic use; thiamine deficiency – complications therapy; magnesium deficiency – therapy; hypokalemia – therapy; wernicke encephalopathy – etiology Medicine (General) R5-920
spellingShingle	refeeding syndrome – complications physiopathology prevention and control therapy; malnutrition – metabolism therapy; nutritional support – adverse effects; hypophosphatemia – complications etiology therapy; thiamine – physiology therapeutic use; thiamine deficiency – complications therapy; magnesium deficiency – therapy; hypokalemia – therapy; wernicke encephalopathy – etiology Medicine (General) R5-920 Dina Ljubas Kelečić Darija Vranešić Bender Željko Krznarić Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
description	Refeeding syndrome (RFS) is a serious and potentially fatal complication that occurs in patients with severe malnutrition of various etiologies after repeated, uncontrolled introduction of a diet, especially carbohydrates. Complications of RFS develop due to rapid metabolic changes that occur during the switch from catabolism to anabolism, and cellular depletion of phosphorus, potassium, magnesium and micronutrients, and can affect one or more organ systems. Most of RFS complications associated with vitamin deficiency are related to thiamine deficiency. Due to its coenzyme role in the metabolism of carbohydrates and branched chain amino acids, thiamine is an important factor in maintaining the normal function primarily of cerebral energy metabolism. Understanding the basic biochemistry during starvation, and consequently the mechanisms and factors influencing metabolic changes during RFS, is important for timely identification of patients at risk and prevention of RFS and also many clinical complications it can cause regardless of nutritional support modality.
format	article
author	Dina Ljubas Kelečić Darija Vranešić Bender Željko Krznarić
author_facet	Dina Ljubas Kelečić Darija Vranešić Bender Željko Krznarić
author_sort	Dina Ljubas Kelečić
title	Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
title_short	Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
title_full	Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
title_fullStr	Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
title_full_unstemmed	Understanding, prevention and treatment of refeeding syndrome. The role of thiamine
title_sort	understanding, prevention and treatment of refeeding syndrome. the role of thiamine
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/19daedf29f8948a78f990551ef9108b0
work_keys_str_mv	AT dinaljubaskelecic understandingpreventionandtreatmentofrefeedingsyndrometheroleofthiamine AT darijavranesicbender understandingpreventionandtreatmentofrefeedingsyndrometheroleofthiamine AT zeljkokrznaric understandingpreventionandtreatmentofrefeedingsyndrometheroleofthiamine
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Understanding, prevention and treatment of refeeding syndrome. The role of thiamine

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