Refeeding Syndrome: A Review

  • ABM Shahidul Alam Chief Consultant, Department of Paediatrics, Central Police Hospital, Dhaka
  • ASM Bazlul Karim Professor of Paediatric Gastro-entrology & Nutrition, BSMMU, Dhaka
  • S Anwar Sadat Registrar, Department of Paediatrics, Northern International Medical College, Dhaka
Keywords: refeeding syndrome


Refeeding syndrome (RS) was first described among prisoners of far east after the second world war. Eating again after a long period of prolonged starvation seems to precipitate cardiac failure. It develops in malnourished patient who receives nutritional support after a long period of inadequate intake. It usually develops within four days of initiation of dietary therapy. Although no consensus definition exists, refeeding syndrome can be defined as the consequences of severe fluid and electrolyte shifts in malnourished patient when they are refed. It can develop after oral, enteral (through a tube) or parenteral (Intravenous) nutritional therapy. Phosphate plays an important role in the pathogenesis of various manifestations of refeeding syndrome. The biochemical hall mark of refeeding syndrome is hypophosphataemia. 

DOI: 10.3329/bjch.v33i1.5672

Bangladesh Journal of Child Health 2009; Vol.33(1): 27-30


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How to Cite
Alam, A., Karim, A., & Sadat, S. (1). Refeeding Syndrome: A Review. Bangladesh Journal of Child Health, 33(1), 27-30.
Review Article