Diese Arbeit stellt eine 68-jährige Patientin vor, welche wegen Verschlechterung des Allgemeinzustandes und Bewusstseinseintrübung verbunden mit schwerer Hyponaträmie, wahrscheinlich als Folge einer Essstörung mit Malnutrition, hospitalisiert wurde. ...
The medical care of old patients becomes more and more important. Currently about 21% of all people are older than 60 years. Decisions about therapeutical procedures often cannot be based on guidelines, because studies leading to this guidelines have ...
Rationale: Malnutrition in hospitals is often not assessed and malnourished patients rarely receive specific nutritional therapy. Methods: 50 consecutive patients were assessed using the Nutritional Risk Score (NRS). 22 patients (intervention group, IG) ...
«Not to be Taken Lightly»Abstract. A 78 year old patient with type 2 diabetes mellitus was hospitalized because of weakness and poor nutritional status. For several years, he suffered from an unintended weight loss and chronic, pulpy diarrhea. On ...
An Uncommon DiagnosisAbstract. We report on a 61-year-old patient who suffered from severe protein-energy malnutrition due to an inadequately treated exocrine pancreatic insufficiency. In this context, a thiamine deficiency was not recognized and there ...
Refeeding Syndrome in Medical InpatientsAbstract. The Refeeding syndrome encompasses a clinical syndrome with life-threatening acute micronutrient deficiencies, fluid and electrolyte imbalance, and disturbances of organ function and metabolic ...
Dysphagia – a Symptom of Amyotrophic Lateral SclerosisAbstract. Dysphagia is a common problem in clinical daily routine and neurological diseases, such as amyotrophic lateral sclerosis (ALS), are often the reason for this symptom. We show difficulties ...
Nutritional Therapy in the Elderly – What Do We Know Today?Abstract. Malnutrition in the elderly has a high prevalence and is a strong and independent risk factor for complications and high mortality. Early ...
Cachexia – A Cluster of LossesAbstract. Cachexia occurs in Cancer and other incurable diseases. Cachexia is regularly underdiagnosed and undertreated. The syndrome is defined by weight-loss, which is also caused by loss of ...
Bariatric Surgery in 2022 – What Is Important for the General Practitioner?Abstract. Bariatric surgery is the most efficient treatment for obesity and associated diseases. Basic knowledge about the indications, common ...
Clinical Nutrition for the Medical Patient: From Screening to Diagnosis and Start of Nutritional TherapyAbstract. With the demographic increase of elderly, multimorbid patients, the number of those with disease-related ...
Refeeding Syndrome: Where Do We Stand in 2022?Abstract. The refeeding syndrome is a potentially life-threatening condition that can occur when refeeding malnourished patients. In recent years, two consensus manuscripts were ...