Elena Carrillo-López, Sara Jiménez-Blanco, Itziar Leal-Leturia, Begoña Molina-Baena
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[Asymptomatic hyperphosphatemia in late refeeding of an eating disorder].
Refeeding syndrome is a serious complication following the reintroduction of nutrition in severely malnourished patients. It is accompanied by metabolic disturbances, with hypophosphatemia being an early and common finding. However, the occurrence of hyperphosphatemia in the later stages of refeeding is an unusual and poorly studied finding. Increased tubular reabsorption of phosphate (TRP) seems to be the underlying mechanism. This could be explained by the activation of the GH/IGF-1 system, associated with refeeding, which inhibits FGF-23 secretion and leads to a reduction in TRP. Contradictorily, FGF-23 levels are elevated, suggesting a resistance to its action. This phenomenon appears to be adaptive and is frequently transient and asymptomatic.
期刊介绍：
The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.
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