OVERVIEW Intolerance to enteral nutrition is characterised by excessive aspirates (>500mL q6h),vomiting, abdominal distension, constipation or diarrhoea CAUSES Patient GORD hiatus hernia gastroparesis/ileus pseudo-obstruction retroperitoneal haematoma/oedema bowel injury bowel ischaemia shock sepsis pancreatitis bowel obstruction hyperglycemia hypoxia / ischemia trauma…