What are the recommended guidelines for transitioning a patient from parenteral nutrition to enteral feeding?

Parenteral nutrition should be introduced progressively and closely monitored, usually starting at no more than 50% of estimated needs for the first 24 to 48 hours, and can be withdrawn once adequate oral or enteral nutrition is tolerated and nutritional status is stable ¹.

Parenteral nutrition should be stopped when the patient is established on adequate oral and/or enteral support, with a planned and stepwise withdrawal process involving daily review ¹.

The transition involves gradually reducing parenteral nutrition while increasing enteral feeding, ensuring the patient tolerates the enteral route without complications ¹.