{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:19:47Z","timestamp":1783952387761,"version":"3.55.0"},"reference-count":32,"publisher":"Mark Allen Group","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,7,2]]},"abstract":"<jats:p>Enteral feeding is an essential intervention for patients unable to meet their nutritional needs orally, but it carries risks that require skilled nursing recognition and management. This article provides a practical overview of the most common complications encountered across the range of enteral tube types \u2013 including refeeding syndrome, nausea and vomiting, aspiration, diarrhoea and constipation, tube blockage, and tract infection \u2013 and outlines the nursing management strategies supported by current evidence and guidance. Prompt identification of complications, accurate documentation, early escalation and effective multidisciplinary working are central to safe enteral feeding practice.<\/jats:p>","DOI":"10.12968\/bjon.2026.0250","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:14:18Z","timestamp":1783419258000},"source":"Crossref","is-referenced-by-count":0,"title":["Enteral feeding complications and nursing management"],"prefix":"10.12968","volume":"35","author":[{"given":"Charlotte","family":"Vickers","sequence":"first","affiliation":[{"name":"Lead Nutrition Clinical Nurse Specialist, Gastroenterology, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Latham","sequence":"additional","affiliation":[{"name":"Nutrition Clinical Nurse Specialist, Gastroenterology, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Dunham","sequence":"additional","affiliation":[{"name":"Nutrition Clinical Nurse Specialist, Gastroenterology, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","unstructured":"American Society for Parenteral and Enteral Nutrition. Enteral nutrition gastrointestinal intolerance: issues and solutions. The importance of a definition and thorough evaluation and assessment. 2024. https:\/\/tinyurl.com\/yn944yp4 (accessed 16 June 2026)"},{"key":"e_1_3_2_2_1","volume-title":"Manual of dietetic practice","author":"Armer S","year":"2019","unstructured":"Armer S, White R, McNair H. Enteral nutrition. In: Gandy J (ed). Manual of dietetic practice. 6th edn. Wiley-Blackwell, British Dietetic Association; 2019, chapter 6.4. ISBN: 978-1-119-23591-0","edition":"6"},{"key":"e_1_3_2_3_1","unstructured":"BAPEN. Management of enteral feeding related diarrhoea decision tree. 2014. https:\/\/tinyurl.com\/4reh3f85 (accessed 16 June 2026)"},{"key":"e_1_3_2_4_1","unstructured":"BAPEN. Management of enteral feeding complications. 2026. https:\/\/tinyurl.com\/2x3uez7c (accessed 16 June 2026)"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclnm.2009.05.003"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2022-000975"},{"key":"e_1_3_2_7_1","unstructured":"BMJ. BMJ Best Practice. Constipation. 2025. https:\/\/bestpractice.bmj.com\/topics\/en-gb\/154 (accessed 16 June 2026)"},{"key":"e_1_3_2_8_1","unstructured":"BMJ. BMJ Best Practice. Vitamin B1 deficiency. 2026. https:\/\/tinyurl.com\/nhf8hmpt (accessed 16 June 2026)"},{"key":"e_1_3_2_9_1","unstructured":"British Pharmaceutical Nutrition Group. Administering medicines by enteral feeding tubes: a practical guide. 2023. https:\/\/www.bpng.co.uk\/resources (accessed 16 June 2026)"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.12786\/bn.2022.15.e2"},{"key":"e_1_3_2_11_1","unstructured":"Cole S Rubio C. NNNG launch new guidance. National Nurses Nutrition Group Newsletter. 2024;43. https:\/\/nnng.org.uk\/wp-content\/uploads\/2024\/05\/NNNG_May_2024.pdf (accessed 16 June 2026)"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.70133"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-016-3628-5"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2013.18.sup5.s8"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000753468.99321.93"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-025-01227-z"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19084827"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2013456"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2023.07.088"},{"key":"e_1_3_2_20_1","unstructured":"National Institute for Health and Care Excellence. Nutrition support for adults: oral nutrition support enteral tube feeding and parenteral nutrition. Clinical guideline: CG32. 2017 (updated from 2006). https:\/\/www.nice.org.uk\/guidance\/cg32 (accessed 16 June 2026)"},{"key":"e_1_3_2_21_1","unstructured":"National Institute for Health and Care Excellence. Surgical site infections: prevention and treatment. NICE guideline: NG125. 2020 (updated from 2019). https:\/\/www.nice.org.uk\/guidance\/ng125 (accessed 16 June 2026)"},{"key":"e_1_3_2_22_1","unstructured":"National Institute for Health and Care Excellence. Clinical knowledge summaries. Scenario: constipation in adults. 2025. https:\/\/cks.nice.org.uk\/topics\/constipation\/management\/adults\/ (accessed 16 June 2026)"},{"key":"e_1_3_2_23_1","unstructured":"National Patient Safety Agency. Patient safety alert. Reducing the harm caused by misplaced nasogastric feeding tubes in adults children and infants. 2011. https:\/\/tinyurl.com\/29rjdwcz (accessed 16 June 2026)"},{"key":"e_1_3_2_24_1","unstructured":"NHS England\/NHS Improvement. Resource set. Initial placement checks for nasogastric and orogastric tubes. 2016.https:\/\/tinyurl.com\/3tzx7sjm (accessed 16 June 2026)"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1211\/PJ.2022.1.154135"},{"key":"e_1_3_2_26_1","unstructured":"Nightingale J Turner P De Silva A; British Intestinal Failure Alliance (BIFA) Committee. Top tips for preventing and managing refeeding syndrome. BAPEN; 2022. https:\/\/tinyurl.com\/6jh69yk2 (accessed 16 June 2026)"},{"key":"e_1_3_2_27_1","unstructured":"Persaud-Sharma D Saha S Trippensee AW. Refeeding syndrome. StatPearls Publishing; 2022. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK564513\/ (accessed 16 June 2026)"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2018.07.037"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602854"},{"key":"e_1_3_2_30_1","unstructured":"The Royal Marsden NHS Foundation Trust. Chapter 9.14. Mouth care. In: Lister S Hofland J Grafton H (eds). The Royal Marsden manual of clinical and cancer nursing procedures. 2020a. https:\/\/tinyurl.com\/5yba7sy3 (accessed 16 June 2026)"},{"key":"e_1_3_2_31_1","unstructured":"The Royal Marsden NHS Foundation Trust. Chapter 8.20. Enteral feeding tubes: unblocking. In: Lister S Hofland J Grafton H (eds). The Royal Marsden manual of clinical and cancer nursing procedures. 2020b. https:\/\/tinyurl.com\/2xydk94x (accessed 16 June 2026)"},{"key":"e_1_3_2_32_1","unstructured":"The Royal Marsden NHS Foundation Trust. Chapter 8.19. Enteral feeding tubes: administration of medication. In: Lister S Hofland J Grafton H (eds). The Royal Marsden manual of clinical and cancer nursing procedures. 2020c. https:\/\/tinyurl.com\/yckb3usm (accessed 16 June 2026)"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2026.0250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:21:19Z","timestamp":1783948879000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2026.0250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":32,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2026,7,2]]}},"alternative-id":["10.12968\/bjon.2026.0250"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2026.0250","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]}}}