Prof. Russell is a General Physician, a gastroenterologist and Director of the Clinical Nutrition Service at the Royal Melbourne Hospital. He has had extensive experience in both enteral and parenteral nutrition in patients both in hospital and at home. He has a particular interest in the assessment of malnutrition, the disturbed pathophysiology and the consequences of starvation and re-feeding.
Medical Complications Of Starvation In Anorexia Nervosa
Anorexia Nervosa effects 2-4% of the population of Australia. It is usually first diagnosed in adolescence or young adulthood, and has the highest mortality rate of any psychiatric disorder in this age group. Starvation resulting in catabolism effects most organs in the body and has a profound effect on macro and micro nutrient status, intracellular and extra cellular water and electrolyte balance and hormonal secretion. Severe end-organ dysfunction puts patients at high risk of the refeeding syndrome. A multidisciplinary team approach to management is critical for the safe care of these patients. Evidence based medical guidelines will be presented to assist physicians in the care of these ill patients.