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POSTOPERATIVE HYPOPHOSPHATEMIA: A MULTIFACTORIAL PROBLEM

Identifieur interne : 00BD03 ( Main/Exploration ); précédent : 00BD02; suivant : 00BD04

POSTOPERATIVE HYPOPHOSPHATEMIA: A MULTIFACTORIAL PROBLEM

Auteurs :

Source :

RBID : ISTEX:592EAEAB0B3DD8665AEAC40BFFAAAC875835E3AE

Descripteurs français

English descriptors

Abstract

This case study from the Boston Veterans Administration Medical Center emphasizes the signs, pathogenesis, and importance of hypophosphatemia in the setting of postoperative intensive nutritional support. Multiple contributing factors, including preoperative nutritional depletion, alcoholism, antacid therapy, and intracellular shifts induced by intravenous administration of glucose solutions were all involved in the pathogenesis of hypophosphatemia. Other risk factors are identified; familiarity with these should alert physicians to look for this potentially fatal but easily treatable, iatrogenic nutritional disorder.

Url:
DOI: 10.1111/j.1753-4887.1989.tb02809.x


Affiliations:


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Le document en format XML

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<title xml:lang="en">POSTOPERATIVE HYPOPHOSPHATEMIA: A MULTIFACTORIAL PROBLEM</title>
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<title level="j" type="main">Nutrition Reviews</title>
<title level="j" type="alt">NUTRITION REVIEWS</title>
<idno type="ISSN">0029-6643</idno>
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<term>Diabetic ketoacidosis</term>
<term>Dietary deficiency</term>
<term>Diuretic therapy</term>
<term>Glucose</term>
<term>Hypophosphatemia</term>
<term>Inorganic phosphate</term>
<term>Intestinal absorption</term>
<term>Intracellular compartment</term>
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<term>Metabolic acidosis</term>
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<term>Phosphate</term>
<term>Phosphaturia</term>
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<term>Refeeding syndrome</term>
<term>Risk factors</term>
<term>Serum concentrations</term>
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<term>Syndrome</term>
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<term>Hypophosphatemia</term>
<term>Inorganic phosphate</term>
<term>Intestinal absorption</term>
<term>Intracellular compartment</term>
<term>Intracellular shift</term>
<term>Metabolic acidosis</term>
<term>Multiple risk factors</term>
<term>Nasogastric suction</term>
<term>Normal limits</term>
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<term>Nutrition rniewsivol</term>
<term>Nutritional support</term>
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<term>Parenteral nutrition</term>
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<term>Phosphaturia</term>
<term>Phosphorus</term>
<term>Postoperative</term>
<term>Refeeding syndrome</term>
<term>Risk factors</term>
<term>Serum concentrations</term>
<term>Serum phosphorus</term>
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<term>Severe malnutrition</term>
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<term>Urinary excretion</term>
<term>Volume overload</term>
<term>Wound site</term>
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<div type="abstract" xml:lang="en">This case study from the Boston Veterans Administration Medical Center emphasizes the signs, pathogenesis, and importance of hypophosphatemia in the setting of postoperative intensive nutritional support. Multiple contributing factors, including preoperative nutritional depletion, alcoholism, antacid therapy, and intracellular shifts induced by intravenous administration of glucose solutions were all involved in the pathogenesis of hypophosphatemia. Other risk factors are identified; familiarity with these should alert physicians to look for this potentially fatal but easily treatable, iatrogenic nutritional disorder.</div>
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