Where should the end of an enteral feeding tube be placed in a patient with acute pancreatitis?

In a patient with acute pancreatitis, the enteral feeding tube is best positioned in the jejunum. This approach helps to minimize pancreatic stimulation and reduce the risk of further complications. The jejunum, being part of the small intestine, allows for nutrient absorption while bypassing the stomach and duodenum, which can be beneficial in conditions where pancreatic function may be compromised.

Feeding directly into the jejunum also promotes early enteral nutrition, which is associated with improved outcomes in critically ill patients. Positioning the tube here reduces the likelihood of aspiration and avoids the stimulation of the digestive processes in the stomach, which can provoke pancreatic secretions and potentially exacerbate inflammation and morbidities associated with pancreatitis.

This rationale explains why positioning the tube in the jejunum is preferable compared to other locations, such as the stomach, duodenum, or ileum.