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American Journal of Hospice and Palliative Medicine®, Vol. 23, No. 5, 369-377 (2006)
DOI: 10.1177/1049909106292167

Enteral and Parenteral Nutrition in Terminally Ill Cancer Patients: A Review of the Literature

Sydney Morss Dy, MD, MSc

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and Departments of Medicine and Oncology, Johns Hopkins University School of Medicine; Community Hospices of Maryland, sdy{at}jhsph.edu

Many terminally ill patients who are able to eat appear to be eating less than they should, losing weight, and becoming malnourished, and many others develop difficulties with eating. These symptoms and signs are usually a marker of advanced cancer, rather than the cause of decreasing functional status, and providing supplemental nutrition rarely changes the course of the disease. This article reviews evidence on issues relevant to enteral and parenteral nutrition in patients with advanced cancer, including benefits, risks, and discomforts; how these types of nutrition are used and perceived, and how decisions are made; and how decision-making might be improved.

Key Words: enteral nutrition • parenteral nutrition • terminal cancer


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S. M. Dy, K. A. Lorenz, A. Naeim, H. Sanati, A. Walling, and S. M. Asch
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