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Table 1 Indications for parenteral nutrition

From: Development and current use of parenteral nutrition in critical care – an opinion paper

• Prolonged ileus >3 days

  Mechanical obstruction

  Generalized peritonitis

  Peritoneal carcinosis

  Abdominal distension on enteral nutrition

• Short bowel syndrome

  Mesenteric infarction

  Extensive small bowel resection leaving <1.5 m

• Severe malabsorption

  Radiation injury to the intestine

  High output fistulae (jejunal > ileal)

  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