How should I assess the suitability of a patient for enteral feeding, and what contraindications should I consider?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

To assess the suitability of a patient for enteral feeding, healthcare professionals should consider whether the patient is malnourished or at risk of malnutrition, has inadequate or unsafe oral intake, and has a functional, accessible gastrointestinal tract .

Enteral tube feeding should not be given unless these criteria are met, or the patient is participating in a clinical trial .

Patients with a non-functional, inaccessible, or perforated gastrointestinal tract are not suitable candidates for enteral feeding .

Assessment should include confirming the placement of the feeding tube after insertion and before each use, using aspiration and pH testing, or X-ray if necessary .

Contraindications to consider include upper gastrointestinal dysfunction, such as obstruction or perforation, and situations where the gastrointestinal tract is inaccessible or non-functional .

Educational content only. Always verify information and use clinical judgement.