Severe hypophosphatemia following the institution of enteral feedings

Archives of Surgery
M E Hayek, P G Eisenberg

Abstract

Although severe hypophosphatemia has been recognized in refeeding syndromes, it is not a commonly reported complication of enteral nutrition. The present study was designed to identify cases of severe hypophosphatemia (less than 0.32 mmol/L [less than 1.0 mg/dL]) related to the administration of carbohydrates via the enteral route. Serum phosphorus levels were evaluated at the time of admission of 25 patients to two midwestern teaching hospitals and during their postoperative enteral support in the surgical intensive care unit. The initial serum phosphorus levels ranged from 0.77 to 1.55 mmol/L (2.4 to 4.8 mg/dL), serum calcium levels ranged from 1.80 to 2.44 mmol/L (7.2 to 9.8 mg/dL). From two to five days following the initiation of isotonic enteral feedings, the serum phosphorus level decreased to 0.16 to 0.39 mmol/L (0.5 to 1.2 mg/dL). Serum phosphorus levels were corrected within two to ten days with oral supplementation only. Patients with high metabolic demand may have a higher daily requirement for phosphorus than that available in routine isotonic enteral formulas.

Citations

Aug 26, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·UNKNOWN Society for Adolescent Health and Medicine
Mar 30, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·J R RossS N Taylor
Jun 28, 2008·BMJ : British Medical Journal·Hisham M MehannaJane Travis
Mar 17, 2009·Head & Neck Oncology·Hisham MehannaJane Travis
Jul 1, 2008·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Swagata TripathyS C Dash
Jul 1, 1995·Journal of Veterinary Internal Medicine·R B Justin, A E Hohenhaus
Jul 3, 1998·Gastroenterology Clinics of North America·R C DeWitt, K A Kudsk
May 31, 2011·The Surgical Clinics of North America·J Alexander Palesty, Stanley J Dudrick
Oct 5, 2010·Gastroenterology Research and Practice·L U R KhanJ Macfie
Jan 9, 2004·Clinics in Chest Medicine·Aldo J Peixoto
Jan 24, 2015·Case Reports in Medicine·Einat HershkowitzArie Markel
Apr 9, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sarah J Miller
Nov 25, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michael D KraftGordon S Sacks
Mar 27, 2004·Nutrition·Chao-Gang FanJie-Shou Li
Jun 1, 1994·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·G S SacksR O Brown
Dec 1, 1992·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·K DwyerJ F Rogers
Jun 25, 1998·Clinical Pediatrics·G WorleyS P Combs
Jan 1, 2015·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michael D Kraft
Oct 1, 1995·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·P S Mehler, K A Weiner
Nov 16, 2007·The International Journal of Eating Disorders·Takatoshi SaitoNaoko Tajima
Mar 25, 2006·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·J Alexander Palesty, Stanley J Dudrick
Oct 7, 2006·Current Opinion in Gastroenterology·D H Alpers, S Klein
May 21, 2003·Alimentary Pharmacology & Therapeutics·A TerlevichC S J Probert
Sep 1, 1996·Annals of Clinical Biochemistry·M Crook, R Swaminathan
Jul 1, 2008·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Suman SarkarPrithwis Bhattacharya
Jul 1, 2008·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Suman Sarkar
Jul 13, 2001·Nutrition·M A CrookJ V Panteli
Aug 3, 1992·The Medical Journal of Australia·P S Mehler

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

JPEN. Journal of Parenteral and Enteral Nutrition
S M Solomon, D F Kirby
JPEN. Journal of Parenteral and Enteral Nutrition
J S Thompson, R E Hodges
The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
M R KohnI R Shenker
© 2022 Meta ULC. All rights reserved