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Official publication of the Indian Society of Nephrology
 
CASE REPORT
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Refeeding syndrome in haemodialysis patients


1 Department of Nephrology, Ramkrishan Care Hospital, Raipur, Chhattisgarh, India
2 Department of Dietitics and Nutrition, Ramkrishan Care Hospital, Raipur, Chhattisgarh, India

Correspondence Address:
Prawash K Chowdhary,
Ramkrishna Care Hospital Raipur - 492 001, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_126_20

Nutritional therapies have shown to be efficacious and efficient, despite the overall low level of evidence. It however hides the risk of refeeding syndrome in catabolic malnourished patients. Refeeding syndrome is the metabolic response due to the switch from a starvation to a fed state in the initial phase of nutritional therapy in patients who were severely malnourished or metabolically stressed due to severe illness. Here we describe two cases of chronic kidney disease patients on maintenance haemodialysis, who developed refeeding syndrome. Both the patients had tuberculosis and were severely malnourished with subjective global Assessment (SGA) of grade C. Timely diagnosis and proper management leads to good outcome.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07