Letter to the Editor

From Beagles to the Bedside: Jonathan Rhoads and Parenteral Nutrition

Authors: Jashodeep Datta, MD, James L. Mullen, MD

Abstract

To the Editor


This year marks the 45th anniversary of the landmark study that changed the paradigm for the nutritional management of malnourished patients. In the Harrison Laboratories at the University of Pennsylvania Department of Surgery, Jonathan Rhoads and his colleagues demonstrated that parenteral nutrition (PN) could provide the solenutritional sustenance for the growth and metabolic support of growing beagle puppies. They compared the growth of two groups of purebred beagles by placing one on oral feedings and the other on PN—the intravenous beagles actually outgrew the orally fed group, although not significantly.1

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References

1. Dudrick SJ, Vars HM, Rawnsley HM, et al. Total intravenous feeding and growth in puppies. Fed Proc 1966; 25: 481.
 
2. Wilmore DW, Dudrick SJ. Growth and development of an infant receiving all nutrients by vein. JAMA 1968; 203: 860–864.
 
3. Englert DM, Dudrick SJ. Principles of ambulatory home hyperalimentation. Ann Surg 1969; 169: 974–978.
 
4. Rhoads JE. The development of TPN: an interview with pioneer surgical nutritionist Jonathan E. Rhoads, MD. J Am Diet Assoc 2001; 101: 747–750.
 
5. Dudrick SJ. A 45 year obsession and passionate pursuit of optimal nutritional support: puppies, pediatrics, surgery, geriatrics, home TPN, A.S.P.E.N., et cetera. J Parenter Enteral Nutr 2005; 29: 272–287.