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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Ramesh met an accident with a car and has been in `deep coma' for the last 15 days. The most suitable route for the administration of protein and calories is by :
assistant
The correct answer is  Unless the gastrointestinal tract is non-functional, its use for nutritional support is preferable to the use of either the central or a peripheral venous route. However, in a patient who is comatose either nasogastric feeding or feedings through a gastrostomy tube may lead to vomiting and aspiration.
This problem can be avoided by using a nasoenteric tube with the tip placed in the jejunum under fluoroscopic or endoscopic control. Alternatively, a catheter may be placed directly into the proximal jejunum through a small upper abdominal incision.