Nasojejunal feeding is preferred over nasogastric feeding in which condition?

Nasojejunal feeding is preferred over nasogastric feeding in which condition?

• A. Gastroparesis
• B. Normal gastric emptying
• C. No risk of GERD
• D. Short-term feeding without complications

Answer: (A)

Delayed gastric emptying makes stomach-directed feeds poorly tolerated and raises the risk of aspiration. Nasojejunal feeding delivers nutrients past the stomach into the small intestine, bypassing the motility problems of gastroparesis, which reduces gastric residuals and reflux and generally improves tolerance. That’s why post-pyloric (nasojejunal) feeding is preferred in gastroparesis. If gastric emptying were normal, there’s no advantage to bypassing the stomach. If there’s no risk of reflux and feeding is short-term or uncomplicated, a nasogastric approach is simpler and appropriate.

Delayed gastric emptying makes stomach-directed feeds poorly tolerated and raises the risk of aspiration. Nasojejunal feeding delivers nutrients past the stomach into the small intestine, bypassing the motility problems of gastroparesis, which reduces gastric residuals and reflux and generally improves tolerance. That’s why post-pyloric (nasojejunal) feeding is preferred in gastroparesis. If gastric emptying were normal, there’s no advantage to bypassing the stomach. If there’s no risk of reflux and feeding is short-term or uncomplicated, a nasogastric approach is simpler and appropriate.