Anorexia Nervosa and the Use of Total Parenteral Nutrition Refeeding

Authors: Philip S. Mehler; Steven Kolpak; Ricardo Padilla

Source: Current Nutrition & Food Science, Volume 1, Number 1, January 2005 , pp. 97-104(8)

Publisher: Bentham Science Publishers

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Abstract:

Anorexia nervosa is a chronic eating disorder which often has a poor prognosis. The likelihood of success in treating this disorder, which most commonly strikes females in their prime of life, is greatly enhanced by the attainment of ideal body weight during the refeeding-weight restoration process. For a select number of refractory, chronic, severe anorexic patients, in whom traditional modes of refeeding through oral or nasogastric routes has not been successful, total parenteral nutrition (TPN) may offer an alternative method of refeeding for this population. Judicious usage of TPN is critical in this markedly malnourished cadre of patients to avoid the morbid complications associated with the refeeding syndrome.

Keywords: anorexia nervosa; total parenteral nutrition; refeeding syndrome; hypophosphatemia

Document Type: Review article

DOI: http://dx.doi.org/10.2174/1573401052953258

Affiliations: 1: Denver Health and Hospitals, 660 Bannock Street, MC0278, Denver, CO 80204, USA.

Publication date: 2005-01-01

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Current Nutrition & Food Science publishes frontier reviews on all the latest advances on basic and clinical nutrition and food sciences. The journal's aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all nutrition and food scientists.