<prompt> The most appropriate route for administration of nutrition to a patient who is comatose for a long period after and automobile accident isNasogastric tube feedingGastrotomy tube feedingJejunostomy feedingCentral venous hyperalimentation  <response>: The principal indication for a jejunostomy is as an additional procedure during major surgery of the upper digestive tract, where irrespective of the pathology or surgical procedures of the esophagus, stomach, duodenum, pancreas, liver, and biliary tracts, comatose patient , nutrition can be infused at the level of the jejunum Ref Davidson 23rd edition pg 344 