Historical Development of Parenteral and Enteral Nutrition for Critically Ill Patients in Thailand during the Past 40 Years (1970-2010), and the Beginning of SPENT and PENSA

Authors

  • Professor Emeritus Chomchark Chuntrasaku Doctor of Medicine, Honoris Causa, Mahidol University Research Professor IBC, Cambridge, England

Abstract

Total Parenteral Nutrition (TPN) begun as basic research studies on beagles that were fed nothing by mouth (NPO) and administered parenteral nutrition through the intravenous line. These studies were carried out by Professor Stanley J. Dudrick and his associates, a group of surgeons from Pennsylvania, USA. After a few weeks to a few months of intravenous feeding, they found that the beagle puppies were able to grow as well as those eating normally. Following the publication of his experiments in the Journal of the American Medical Association in 1968, Professor Dudrick became well known and respected world-wide, a potential leader of a new medical field1,3. Many surgeons in the United States followed his lead in using intravenous nutrition to care for patients with nutritional problems, such as those with entero-cutaneous fistula. After TPN was given to this group of patients, the fistula spontaneously closed at a much higher rate, from 35% up to 75%.TPN was being used in patients who could not utilize their gastrointestinal tract, or who did not get enough nutrition, or those patients who had slow wound healing2.

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Published

2015-10-30

How to Cite

1.
Chuntrasaku PEC. Historical Development of Parenteral and Enteral Nutrition for Critically Ill Patients in Thailand during the Past 40 Years (1970-2010), and the Beginning of SPENT and PENSA. Thai J Surg [Internet]. 2015 Oct. 30 [cited 2024 Dec. 23];36(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226043

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