Thanks KentW but thats actually the one I've got. They imply in the discussion that enteral feedings were protective but not whether prophylaxis should be continued after feeds, d/ced and certainly didn't provide any study to argue one way or the other. Some other studies seem to argue that enteral feedings are as effective as H2 blocker/decrease GI bleeding but these studies are fraught with all kinds of problems...
(MacLaren R, Jarvis CL, Fish DN. Use of enteral nutrition for stress ulcer prophylaxis. Ann Pharmacother. 2001;35:1614-1623.
Raff T, Germann G, Hartmann B. The value of early enteral nutrition in the prophylaxis of stress ulceration in the severely burned patient. Burns. 1997;23:313-318. ) Not enough power, use of H2 prophylaxis with feeds and a lack of a consistent regimen for feeds.
Anyway, Mabey I am not going to be coming up with an answer any time soon. Had one attending arguing one point and a counter argument from the CC fellow. Thanks for the help