Nutritional Support: Site of Enteral Support (Gastric versus Jejunal) (UPDATE IN PROCESS)

Published 2004

Level 1

No recommendations

Level 2

In critically injured patients, early gastric feeding, is feasible, and clinical outcome is equivalent to patients fed into the duodenum. For this reason and because access to the stomach can be obtained more quickly and easily than the duodenum, an initial attempt at gastric feedings appears warranted.

Level 3

Patients at high risk for pulmonary aspiration due to gastric retention or gastroesophageal reflux should receive enteral feedings into the jejunum.