• Prolonged ileus > 3 days |
mechanical obstruction, generalized peritonitis, peritoneal carcinosis, abdominal distension on enteral nutrition |
• Short Bowel syndrome |
mesenteric infarction, extensive small bowel resection |
• Severe malabsorption |
radiation injury to intestine, high output fistulae, inflammatory bowel diseases in acute phase, splanchnic ischemia |
• Time to reach full enteral nutrition or oral > 5 days |
• Insufficient energy intakes |
• Hyperemesis gravidarum |
• High risk of aspiration |