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March 28, 1977

Medical News

JAMA. 1977;237(13):1303-1310. doi:10.1001/jama.1977.03270400007001

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Well-fed patients are more likely to benefit from their therapy  Growing concern over patient nutrition was evident at the recent meeting of the American Society of Contemporary Medicine and Surgery, where a panel of experts examined the fruit juice-jello-missed meals syndrome."There is no pathological process or therapy in which you can expect a patient to do better when he's malnourished than when he is well nourished," says hyperalimentation pioneer Stanley Dudrick, MD, professor of surgery at the University of Texas Medical School, Houston. Regarding cancer patients in particular, Dr Dudrick scoffs at the notion that by feeding the patient you feed the tumor.He cited studies done at Houston showing that rats maintained on intravenous feeding could tolerate twice as much fluorouracil. His own clinical experience includes a study of 175 cancer patients who were given 260 courses of therapy over a three-week period and gained an average