Refeeding syndrome in a patient with advanced kidney failure due to nephronophthisis
Author
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 6 (31 Dec. 2013), pp.1217-1222, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-12-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
Refeeding syndrome (RS) is a serious and potentially fatal disorder.
It is caused by a shift of fluids, sodium, potassium, magnesium and phosphorus as well changes in the metabolism of glucose, protein, fat and vitamins following the refeeding of malnourished patients, whether enterally or parenteral.
RS has rarely been reported in patients with advanced kidney disease probably due to the pre-existing hypophosphatemia, hypomagnesaemia and hyperkalemia in these patients.
In the following report, we present a patient with nephron phthisis type 1 deletion syndrome in whom her main previous nutrition was limited to simply rehydration to avoid renal replacement therapy.
On presentation, she was cachectic and dehydrated with advanced kidney failure.
She was treated with medical nephrectomy using non-steroidal anti-inflammatory drugs and then placed on maintenance hemodialysis.
Percutaneous endoscopic gastrostomy was used for her initial feeding.
Care was exercised during her early reseeding with regard to correction of fluids and essential electrolytes, viz.
potassium, phosphorus and magnesium, as well as multivitamins to avoid the cardiovascular and neurological complications of RS.
However, the changes in the gut, pancreas and liver as well as her hyperlipidemia were a clear obstacle.
Fortunately, the ileus and pancreatitis she developed on reseeding improved dramatically with a decrease of the feeding dose to half ; however, the liver abnormalities and hyperlipidemia were severe and slow to recover.
These improved after addition of ursodeoxycholic acid and permitted successful increase of the dose of feeding subsequently.
American Psychological Association (APA)
al-Rashid, Kamil. 2013. Refeeding syndrome in a patient with advanced kidney failure due to nephronophthisis. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 6, pp.1217-1222.
https://search.emarefa.net/detail/BIM-342685
Modern Language Association (MLA)
al-Rashid, Kamil. Refeeding syndrome in a patient with advanced kidney failure due to nephronophthisis. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 6 (2013), pp.1217-1222.
https://search.emarefa.net/detail/BIM-342685
American Medical Association (AMA)
al-Rashid, Kamil. Refeeding syndrome in a patient with advanced kidney failure due to nephronophthisis. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 6, pp.1217-1222.
https://search.emarefa.net/detail/BIM-342685
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1222
Record ID
BIM-342685