Refeeding syndrome in a girl with cerebral palsy

Authors

  • M.T. Leonardo-Cabello Servicio de Pediatria. Hospital Universitario Marqués de Valdecilla. Santander
  • S. Llorente Pelayo Servicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander. España
  • D. Pérez González Servicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander. España
  • M. Ansó Mota Servicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander. España
  • S. García Calatayud Servicio de Pediatría. Hospital Universitario Marqués de Valdecilla. Santander. España

DOI:

https://doi.org/10.23938/ASSN.0949

Keywords:

Hypophosphatemia, Refeeding syndrome, Cerebral palsy

Abstract

Refeeding syndrome is a serious and life-threatening complication associated with oral, enteral and parenteral nutritional therapy. It appears in severely malnourished patients or in those at risk of malnutrition, such as persons with cerebral palsy.

We present the case of an 8-year-old girl with cerebral palsy who was admitted with severe hypoglycemia. After starting enteral nutrition by nasogastric tube, she developed refeeding syndrome. In children with cerebral palsy, it is essential to assess the presence of risk factors for refeeding syndrome before starting any nutritional support, and then start feeding progressively and monitor serum electrolytes.

Downloads

Download data is not yet available.

References

PULCINI CD, ZETTLE S, SRINATH A. Refeeding Syndrome. Pediatr Rev 2016; 37: 516-523. https://doi.org/10.1542/pir.2015-0152

ROS ARNAL I, RIVERO DE LA ROSA MC, LÓPEZ RUZAFA E, MORÁIS LÓPEZ A. Síndrome de realimentación en pediatría: clínica, diagnóstico, prevención y tratamiento. Acta Pediatr Esp 2017; 75: e159-e163.

RUNDE J, SENTONGO T. Refeeding syndrome. Pediatr Ann 2019; 48: e448-454.

REMPEL G. The Importance of Good Nutrition in Children with Cerebral Palsy. Phys Med Rehabili Clin N Am 2015; 26: 39-56. https://doi.org/10.3928/19382359-20191017-02

RYTTER MJ, BABIREKERE-IRISO E, NAMUSOKE H, CHRISTENSEN VB, MICHAELSEN KF, RITZ C et al. Risk factors for death in children during inpatient treatment of severe acute malnutrition: a prospective cohort study. Am J Clin Nutr 2017; 105: 494-502. https://doi.org/10.3945/ajcn.116.140822

AFZAL NA, ADDAI S, FAGBEMI A, THOMSON M, HEUSCHKEL R. Refeeding syndrome with enteral nutrition in children: A case report, literature review and clinical guidelines. Clin Nutr 2002; 21: 515-520. https://doi.org/10.1054/clnu.2002.0586

LENICEK KRLEZA J, MISAK Z, JADRESIN O, SKARIC I. Refeeding syndrome in children with different clinical aetiology. Eur J Clin Nutr 2013; 67: 883-886. https://doi.org/10.1038/ejcn.2013.58

WORLEY G, CLAERHOUT SJ, COMBS SP. Hypophosphatemia in Malnourished Children During Refeeding. Clin pediatr (Phila) 1998; 37: 347-352. https://doi.org/10.1177/000992289803700603

National Collaborating Centre for Acute Care. Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition. https://www.nice.org.uk/guidance/cg32/chapter/1- Guidance#what-to-give-in-hospital-and-the-community.

BRAEGGER C, DECSI T, DIAS JA, HARTMAN C, KOLAČEK S, KOLETZKO B et al. Practical approach to paediatric enteral nutrition: A comment by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2010; 51: 110-122. https://doi.org/10.1097/mpg.0b013e3181d336d2

DA SILVA JSV, SERES DS, SABINO K, ADAMS SC, BERDAHL GJ, CITTY SW et al. ASPEN Consensus Recommendations for Refeeding Syndrome. Nutr Clin Pract 2020; 35: 178-195. https://doi.org/10.1002/ncp.10491

BOATENG AA, SRIRAM K, MEGUID MM, CROOK M. Refeeding syndrome: Treatment considerations based on collective analysis of literature case reports. Nutrition 2010; 26: 156-167. https://doi.org/10.1016/j.nut.2009.11.017

STANGA Z, BRUNNER A, LEUENBERGER M, GRIMBLE RF, SHENKIN A, ALLISON SP et al. Nutrition in clinical practice - The refeeding syndrome: Illustrative cases and guidelines for prevention and treatment. Eur J Clin Nutr 2008; 62: 687-694. https://doi.org/10.1038/sj.ejcn.1602854

FERNÁNDEZ LÓPEZ MT, GÓMEZ MÁRQUEZ ÁM, CASADO VÁZQUEZ L, ALONSO URRUTIA S, BARDASCO ALONSO ML, RIVERO LUIS MT et al. Incidencia de hipofosfatemia en pacientes ingresados no críticos con nutrición enteral. Nutr Hosp 2017; 34: 761-766. https://doi.org/10.20960/nh.615

NÚÑEZ ME, MUNIESA BH. Prevención del Síndrome de Realimentación. Nutr Hosp 2010; 25: 1045-1048

Published

2021-12-27

How to Cite

1.
Leonardo-Cabello M, Llorente Pelayo S, Pérez González D, Ansó Mota M, García Calatayud S. Refeeding syndrome in a girl with cerebral palsy. An Sist Sanit Navar [Internet]. 2021 Dec. 27 [cited 2025 Dec. 19];44(3):469-74. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/86033

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.