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  • 16 - Assessment and treatment of acute medical complications during the refeeding process

  • from Part IV - Evidence-based care
  • Edited by Tony Jaffa
  • Brett McDermott, University of Queensland
  • Book:
    Eating Disorders in Children and Adolescents
    Published online:
    02 December 2009
    Print publication:
    14 December 2006, pp 195-211

  • Summary

    This chapter explains the refeeding syndrome, how to prevent it and how to treat it should it occur. To reduce the risk of refeeding, it is advisable to begin correcting deficiencies before feeding, to commence feeding slowly and to increase the rate gradually. Serious complications of refeeding are more likely to occur in those patients who have low serum levels of vitamins or minerals before refeeding, those who binge and purge compared with those who restrict, those with more severe malnutrition and those who are treated with rapid refeeding. Finally, it is the author's observation and personal opinion that mental health professionals should consult paediatricians more often than they do when caring for children and adolescents with eating disorders. The need for a paediatric consultation depends on many factors, including the state of health of the child and concurrent treatment outside the eating disorders programme.