EEN via NG tube — RACP Paediatrics MCQ

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A 6-year-old with Crohn disease is starting exclusive enteral nutrition (EEN) for 8 weeks. He is reluctant to drink the formula orally. What is the most appropriate delivery method?

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Correct answer: D — Nasogastric tube feeding

When oral intake of EEN formula is insufficient (compliance is the biggest barrier), nasogastric tube feeding (continuous overnight or bolus) can be used to deliver the required volume. This allows the child to attend school normally with overnight feeds. NG tubes are appropriate for short-term nutritional support (up to 6-8 weeks for EEN courses).

Reference: RCH Melbourne – 2023 – IBD CPG; RACP Paediatric Curriculum – GI