Enteral and Parenteral Nutrition in the Care of the Cancer Patient FREE

William D. DeWys, MD; Thomas T. Kubota, MD

[+] Author Affiliations

Reprint requests to Nutrition Section, Clinical Investigations Branch, National Cancer Institute, Bethesda, MD 20205 (Dr DeWys).

JAMA. 1981;246(15):1725-1727. doi:10.1001/jama.1981.03320150065038

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ABSTRACT

ABSTRACT | REFERENCES

WEIGHT loss in cancer patients is caused by decreased caloric intake, increased caloric consumption, and altered host metabolism. In patients with small or modest caloric deficits, caloric balance may often be restored by dietary counseling and oral nutritional supplements. For patients with moderate to severe caloric deficits or physical problems interfering with oral intake, enteral or parenteral routes of nutritional supplementation should be considered. In a previous article in this series, general principles of nutritional care of the cancer patient were reviewed.¹ This article is concerned with technical aspects of the enteral and parenteral routes of nutrition for cancer patients and with possible indications for their use.

Enteral Nutrition Enteral feeding may be accomplished via tubes inserted through various routes: nasogastric, pharyngostomy, esophagostomy, gastrostomy, or jejunostomy. The nasogastric route is used most often. For most patients, we recommend the use of an 8 F silicone tubing (the small-bore pediatric

REFERENCES

ABSTRACT | REFERENCES

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal