Le syndrome de renutrition inappropriée (notice n° 666381)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03258cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121194216.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Achamrah, Najate |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le syndrome de renutrition inappropriée |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 47 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Refeeding Syndrome (RS) is poorly understood and remains under-diagnosed, despite its clinical consequences and the risk of death. It is defined by the clinical and biological manifestations that occur during the refeeding of patients after prolonged fasting or in the context of undernutrition. It results from the abrupt shift from catabolism to anabolism. The intracellular displacement of electrolytes (phosphorus, magnesium, potassium) in response to insulin secretion after refeeding, and thiamine (vitamin B1) deficiency, play a major role in the pathophysiology of RS. Clinical symptoms are associated with hydroelectrolyte disorders, hydrosaline retention, and/or organ failure. Patient management should be immediate with regular clinical examinations and close biological monitoring, including electrolytes monitoring. Correction of hydroelectrolyte disorders and systematic thiamine supplementation are essential during refeeding. Whether oral, enteral, or parenteral, refeeding should be cautious and very progressively. Identifying patients at risk of RS and preventive measures are crucial. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le syndrome de renutrition inappropriée (SRI) reste sous-diagnostiqué, car peu connu, malgré les conséquences cliniques et le risque de décès. Il est défini par l’ensemble des manifestations clinico-biologiques qui surviennent lors de la renutrition d’un patient en situation de jeûne prolongé ou de dénutrition. Il est la conséquence du passage brutal du catabolisme à l’anabolisme. Le rôle du déplacement intra-cellulaire des électrolytes (phosphore, magnésium, potassium) en réponse à la sécrétion d’insuline lors de la renutrition, et la carence en thiamine (vitamine B1), jouent un rôle majeur dans la physiopathologie du SRI. Les symptômes cliniques sont liés aux troubles hydroélectrolytiques, à une rétention hydrosodée et/ou à une défaillance d’organe(s). La prise en charge des patients doit être immédiate avec un examen clinique régulier et une surveillance biologique rapprochée, en particulier des électrolytes. La correction des troubles hydroélectrolytiques et la supplémentation systématique en thiamine sont indispensables lors de la renutrition. La renutrition, qu’elle soit orale, entérale ou parentérale, doit être prudente et progressive. Le repérage des patients à risque de SRI et la prévention sont indispensables. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | thiamine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | syndrome de renutrition inappropriée |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dénutrition |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | jeune |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hypophosphorémie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | thiamine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | refeeding syndrome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fasting |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hypophosphatemia |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | undernutrition |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 31 | N° Supp 3 | 2024-06-01 | p. 23-28 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2024-HS3-page-23?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2024-HS3-page-23?lang=fr&redirect-ssocas=7080</a> |
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