الفهرس 
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Abstract
Background: Feeding intolerance is a general term indicating intolerance of enteral feeding for whatever clinical reason (vomiting, high gastric residuals, diarrhoea, gastrointestinal bleeding, presence of entero-cutaneous fistulas, etc.). Feeding intolerance should be considered present if at least 20 kcal/kg BW/day via enteral route cannot be reached within 72 h of feeding attempt or if enteral feeding has to be stopped for whatever clinical reason. Aim of the Study: The aim of the study is to measure the frequency of enteral feeding intolerance among patients admitted to pediatrics ICU, Ain Shams University children’s Hospital. A secondary aim is to detect the risk factors of feeding intolerance. A third aim is to detect the effect of enteral feeding initiation on the duration of PICU admission. Patients and Methods: A prospective study to measure the frequency of enteral feeding intolerance among patients admitted to pediatrics ICU, Ain Shams University children’s Hospital from September 2016 to March 2017. Results: SOFA, late start of feeding, long trophic duration and inotropes have a significant effect on the non-tolerant. Conclusion: Feeding intolerance is considered to be common in PICU as we elicited feeding intolerance in one third of our cases Recommendations: Further studies must be done to study different enteral feeding modalities for better feeding tolerance