<prompt> One is not the indication of total parenteral nutrition -Acute pancreatitisEnterocolic fistulaChronic liver diseaseFaecal fistula  <response>: Parenteral nutrition involves the continuous infusion of a hyperosmolar solution containing carbohydrates, proteins, fat and other necessary nutrients through an indwelling catheter inserted into usually the superior vena cava.Indications for Total parenteral NutritionThe principal indications for parenteral nutrition are found in seriously ill patients when use of the gastrointestinal tract for feeding is not possible. In some instances intravenous nutrition may be used to supplement inadequate oral intake.AAs primary therapy1. Gastrointestinal cutaneous fistula including enteroenteric, enterocolic, enterovesical or enterocutaneous fistula.2. Renal failure Acute tubular necrosis3. Short bowel syndrome4. Severe burns5. Hepatic failure acute decompensation superimposed on cirrhosis6. Crohns ds7. Anorexia nervosaB As a supportive therapyAcute radiation enteritisAcute chemotherapy toxicityProlonged ileusWeight loss preliminary to major surgeryC Areas under Intensive studyPatients with cancerPatients with sepsisAbout Pancreatitis TPN was once a preferred route of providing nutritional support to patients with sever acute pancreatitis, but now jejunal enteral feeding is the preferred method with TPN required for few cases whenthere is delay in providing jejunal enteral nutrition to patient with significant malnutrition for more than 3- 4 daysthere is persistent ileus there is exacerbation of pancreatitis after enteral nutrition 