August 1948


Author Affiliations

From the Department of Surgery, Washington University School of Medicine, and Barnes Hospital, St. Louis.

Arch Surg. 1948;57(2):185-194. doi:10.1001/archsurg.1948.01240020190001

THE PLACE of parenteral protein feeding depends first of all on the importance of protein feeding itself and second on the availablity of adequate methods. The need for protein feeding has become emphasized only in the past decade or two. The old ideas that protein is not important and that there are large stores of dispensable body protein have been almost completely discarded. One may assume as proved the harmful effects of protein starvation even for short periods. These evils, to be sure, are slight in the beginning. Certainly a person who is well nourished may withstand deprivation of protein and even considerable loss of protein as such without serious difficulty; but this does not mean that protein losses are without effect. A basic principle in the treatment of disease is that all deficits be avoided. Protein is no exception. Indeed, there is much evidence to show that protein deprivation

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