Abstract

Refeeding syndrome is known as a dangerous consequence of rapid and excessive food intake in severely malnourished subjects. This condition occurred in wartime when prisoners of war were quickly re-nourished after their liberation and they died suddenly. Formerly, various gastrointestinal problems were supposed to be responsible for these problems, but autopsy did not demonstrate any substantial GI changes. However, even at the present time the refeeding syndrome is a not unusual complication of artificial nutrition, with an incidence of 5 to 25% (cancer patients). It occurs commonly with parenteral or enteral realimentation of previously malnourished patients who have lost more than 10% of their body weight over the previous two months. The following groups of patients are especially prone to develop refeeding syndrome:

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