Which enteral feeding method is most appropriate for a patient with a jejunal feeding tube to minimize tolerance issues?

• A. Continuous pump feeding
• B. Bolus feeding
• C. Intermittent feeding
• D. Cyclic feeding

Answer: (A)

Delivering nutrition directly into the jejunum is best tolerated when given as a continuous, pump-controlled infusion. A steady, gradual delivery avoids large, rapid volumes that can overwhelm the small intestine, causing cramps, bloating, diarrhea, and overall intolerance. Since the stomach is bypassed, rapid boluses or intermittently delivered feeds can still produce peaks that the jejunum struggles to handle, leading to discomfort and poor nutrient absorption. A continuous infusion provides a smooth osmolar load and consistent flow, improving tolerance and nutrient delivery.

Intermittent or bolus feedings tend to produce larger, less predictable small-bowel responses, increasing the likelihood of intolerance. Cyclic feeding is useful for transitioning to daily rest periods or overnight feeds but doesn’t inherently minimize tolerance issues the way a consistently paced continuous feed does.