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Re-feeding syndrome

Published online by Cambridge University Press:  08 March 2006

A. Shadaba ,
Joan Paine ,
Roger Adlard  and
Michael Dilkes
A. Shadaba
Affiliation:
Department of Otolaryngology and Head/Surgery, St Bartholomew’s Hospital, London, U.K.
Joan Paine
Affiliation:
Nutrition and Dietetic Department, St Bartholomew’s Hospital, London, U.K.
Roger Adlard
Affiliation:
Department of Otolaryngology and Head/Surgery, St Bartholomew’s Hospital, London, U.K.
Michael Dilkes
Affiliation:
Department of Otolaryngology and Head/Surgery, St Bartholomew’s Hospital, London, U.K.
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Abstract

The effect of a therapeutically administered high calorie diet in a severely malnourished patient is discussed in this case report. In patients with advanced head and neck cancer prolonged periods of malnutrition prior to admission are frequently encountered. This case report highlights the need to constantly monitor the electrolyte and vitamin levels during the early stages of instituting enteral or parenteral nutrition. By vigilant monitoring and a high index of suspicion re-feeding syndrome or severe hypophosphataemia and its associated complications can be avoided.

Keywords

NeoplasmsSquamous CellFeeding MethodsComplications
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 9 , September 2001 , pp. 755 - 756
Copyright
Royal Society of Medicine Press Limited 2001

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