RT Journal Article SR Electronic T1 Jejunal feeding: when is it the right thing to do? JF Frontline Gastroenterology JO Frontline Gastroenterol FD BMJ Publishing Group Ltd SP 397 OP 403 DO 10.1136/flgastro-2019-101181 VO 11 IS 5 A1 Peter Paine A1 Marie McMahon A1 Kirstine Farrer A1 Ross Overshott A1 Simon Lal YR 2020 UL http://fg.bmj.com/content/11/5/397.abstract AB The decision to commence jejunal feeding in patients with structural abnormalities, which prevent oral or intragastric feeding, is usually straightforward. However, decisions surrounding the need for jejunal feeding can be more complex in individuals with no clear structural abnormality, but rather with foregut symptoms and pain-predominant presentations, suggesting a functional origin. This appears to be an increasing issue in polysymptomatic patients with multi-system involvement. We review the differential diagnosis together with the limitations of available functional clinical tests; symptomatic management options to avoid escalation where possible including for patients on opioids; tube feeding options where necessary; and an approach to weaning from established jejunal feeding in the context of a multidisciplinary approach to minimise iatrogenesis.