Contraindication of Enteral Nutrition A) Intestinal obstruction B) Severe pancreatitis C) Severe diarrhoea D) IBD E) Intestinal fistula

Enteral Nutrition Indications Protein - Energy malnutrition with inadequate oral intake Dysphagia except for fluids Major trauma (or surgery) when return to required dietary intake is Prolonged Inflammatory bowel disease Distal, low output (<200 ml/day) enterocutaneous fistula To enhance adaptation after massive enterectomy Contraindications Small bowel obstruction or ileus Severe diarrhoea Proximal small intestinal fistula Severe pancreatitis Ref: Sabiston 20th edition Pgno :112