Contraindication of Enteral nutrition :

Ans. is ' a ' , ' b ' , ' c ' Intestinal obstruction, Severe Pancreatitis, Severe diarrhoea In a pt. who is unable to take or resume an adequate dietary intake nutritional suppo is given enteral or parenteral routes. If the gastrointestinal tract is functioning and can be safely accessed, then enteral feeding is preferred because it is safer, less expensive and more physiological. Enteral feeding helps maintain the gut barrier function and decrease post op. infections complications. Even if it is necessary to employ intravenous feeding, a propoion of the pts' nutritional requirements should be given through enteral route, if possible. Enteral nutrition may be administered orally or through feeding tubes inseed into the stomach or small intestine the nose or the abdominal wall. Indications & Contraindications Enteral feeding Indications Contraindications * Protein-energy malnutrition with * Small bowel obstruction or ileus inadequate oral intake * Severe diarrhoea * Dysphagia, except for fluids * Proximal small intestinal fistulas * Major trauma (including surgery) when return to required dietary intake is prolonged * Severe pancreatitis * Inflammatory bowel disease * Distal, low-output (< 200 ml) enterocutaneous fistulas * To enhance adaptation after massive enterctomy