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Refeeding Syndrome after Gastrectomy in a Patient with Hypophosphatemia: A Case Report
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Cheong Ah Oh
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Ann Clin Nutr Metab 2022;14(2):88-92. Published online December 1, 2022
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DOI: https://doi.org/10.15747/ACNM.2022.14.2.88
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Abstract
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- This study describes an 81-year-old male who was highly suspicious for refeeding syndrome (RFS) after a retrospective review of his postoperative clinical progression. This highlights the importance of clinicians’ awareness of the possibility of RFS development in surgical patients with any RFS risk factors.
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Development of Wernicke’s Encephalopathy during Total Parenteral Nutrition Therapy without Additional Multivitamin Supplementation in a Patient with Intestinal Obstruction: A Case Report
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Cheong Ah Oh
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Ann Clin Nutr Metab 2022;14(2):93-96. Published online December 1, 2022
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DOI: https://doi.org/10.15747/ACNM.2022.14.2.93
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Abstract
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- Wernicke’s encephalopathy (WE) is a serious neurological disorder that can be fatal if not properly treated. In this current paper, I present the case of a 51-year-old male with a perivesical fistula between a presacral abscess and the rectus abdominis muscle. He received total parenteral nutrition therapy during a fasting period because of small bowel obstruction and later developed WE. The patient’s WE-related symptoms improved following rapid treatment with high doses of thiamine.
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