Refeeding syndrome is a slippery topic. It's probably more common than we recognize, often running underneath the radar (the constellation of electrolyte and clinical abnormalities can easily masquerade as another problem, such as alcohol withdrawal). However, there is essentially no prospective evidence on how to prevent or treat it. Indeed, there is no clear consensus definition of exactly what refeeding syndrome is. As such, it's difficult to know precisely aggressively we should search out and treat this entity.
The IBCC chapter is located here.
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