Refeeding syndrome in a woman with pancreatitis: a case report
Refeeding syndrome can occur in malnourished patients with acute pancreatitis who have electrolyte imbalances. Refeeding syndrome is characterized by severe electrolyte imbalances (mainly hypophosphatemia, hypomagnesemia, and hypokalemia), vitamin deficiency (mainly thiamine deficiency), fluid overl...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-02-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060520986675 |
| _version_ | 1818898474638245888 |
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| author | Alberto Lo Gullo Carmela Rifici Santina Caliri Antonina Donato Maria Cristina De Cola Marcella Di Cara Francesco Corallo Placido Bramanti Clemente Giuffrida |
| author_facet | Alberto Lo Gullo Carmela Rifici Santina Caliri Antonina Donato Maria Cristina De Cola Marcella Di Cara Francesco Corallo Placido Bramanti Clemente Giuffrida |
| author_sort | Alberto Lo Gullo |
| collection | DOAJ |
| description | Refeeding syndrome can occur in malnourished patients with acute pancreatitis who have electrolyte imbalances. Refeeding syndrome is characterized by severe electrolyte imbalances (mainly hypophosphatemia, hypomagnesemia, and hypokalemia), vitamin deficiency (mainly thiamine deficiency), fluid overload, and salt retention resulting in organ dysfunction and cardiac arrhythmias. We herein report a case involving a patient with severe pancreatitis and gallbladder stones who developed refeeding syndrome with shock and loss of consciousness. The patient was treated by opportune vitamin and electrolyte supplementation therapy and showed substantial improvement after 2 weeks of hospitalization, gaining the ability to eat small bites of solid food orally. Early diagnosis and treatment of refeeding syndrome may reduce morbidity and mortality in patients with acute pancreatitis. Patients should be fasted only if alimentation is contraindicated, and electrolyte values must be closely monitored. |
| first_indexed | 2024-12-19T19:32:39Z |
| format | Article |
| id | doaj.art-78732757b6e249a3975a8e703825281c |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-19T19:32:39Z |
| publishDate | 2021-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-78732757b6e249a3975a8e703825281c2022-12-21T20:08:34ZengSAGE PublishingJournal of International Medical Research1473-23002021-02-014910.1177/0300060520986675Refeeding syndrome in a woman with pancreatitis: a case reportAlberto Lo GulloCarmela RificiSantina CaliriAntonina DonatoMaria Cristina De ColaMarcella Di CaraFrancesco CoralloPlacido BramantiClemente GiuffridaRefeeding syndrome can occur in malnourished patients with acute pancreatitis who have electrolyte imbalances. Refeeding syndrome is characterized by severe electrolyte imbalances (mainly hypophosphatemia, hypomagnesemia, and hypokalemia), vitamin deficiency (mainly thiamine deficiency), fluid overload, and salt retention resulting in organ dysfunction and cardiac arrhythmias. We herein report a case involving a patient with severe pancreatitis and gallbladder stones who developed refeeding syndrome with shock and loss of consciousness. The patient was treated by opportune vitamin and electrolyte supplementation therapy and showed substantial improvement after 2 weeks of hospitalization, gaining the ability to eat small bites of solid food orally. Early diagnosis and treatment of refeeding syndrome may reduce morbidity and mortality in patients with acute pancreatitis. Patients should be fasted only if alimentation is contraindicated, and electrolyte values must be closely monitored.https://doi.org/10.1177/0300060520986675 |
| spellingShingle | Alberto Lo Gullo Carmela Rifici Santina Caliri Antonina Donato Maria Cristina De Cola Marcella Di Cara Francesco Corallo Placido Bramanti Clemente Giuffrida Refeeding syndrome in a woman with pancreatitis: a case report Journal of International Medical Research |
| title | Refeeding syndrome in a woman with pancreatitis: a case report |
| title_full | Refeeding syndrome in a woman with pancreatitis: a case report |
| title_fullStr | Refeeding syndrome in a woman with pancreatitis: a case report |
| title_full_unstemmed | Refeeding syndrome in a woman with pancreatitis: a case report |
| title_short | Refeeding syndrome in a woman with pancreatitis: a case report |
| title_sort | refeeding syndrome in a woman with pancreatitis a case report |
| url | https://doi.org/10.1177/0300060520986675 |
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