Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Vol. 3 No. 4 (2024): APGHN Vol. 3 No. 4 November 2024

Refeeding Syndrome in Malnutrition – Diagnosis and Management

Aini, Mei Tsarah (Unknown)
Yuliarti, Klara (Unknown)



Article Info

Publish Date
30 Nov 2024

Abstract

Background: Refeeding Syndrome (RS) is a one of the potentially life-threatening complications in malnourished children. The diagnosis of RS is often challenging due to its diverse clinical manifestations. A comprehensive understanding of the risk factors, sign, symptoms and the management of RS is important to reduce morbidity and mortality. Discussion: The management of malnutrition consists of a ten-step process divided into three phases. Adherence to this protocol is important to mitigate the risk of RS. RS is a metabolic complication that occurs when malnourished children rapidly reintroduced to nutrition. This condition is characterized by a shift of electrolytes from the extracellular to the intracellular, leading to hypophosphatemia, hypokalemia, hypomagnesemia, and thiamine deficiency. Children with RS require aggressive electrolyte and vitamin supplementation, followed by a cautious nutritional re-initiation. A gradual approach to nutritional reintroduction and electrolyte supplementation, are a critical preventive measure of RS. Conclusion: All malnourished children are at risk of RS. Recognizing its risk factors and watchful monitoring are essential for early detection and prevention of RS.

Copyrights © 2024






Journal Info

Abbrev

journal

Publisher

Subject

Medicine & Pharmacology

Description

Archives of Pediatric Gastroenterology, Hepatology, and Nutrition (APGHN) is the official journal issued by the Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (Perhimpunan Gastroenterologi, Hepatologi, dan Nutrisi Anak Indonesia). APGHN is issued four times in a year and ...