Abdominal distension is a common complication during enteral nutrition (EN) in critically ill patients and a major contributor to EN interruptions.Effective prevention and management of abdominal distension are crucial for optimizing nutritional outcomes in this population.This review focuses on the identification, assessment, and management strategies for EN-associated abdominal distension in critically ill patients.Additionally, it outlines future research directions in this field, aiming to provide cli-nical healthcare professionals with valuable insights into the recognition, management, and investigation of EN-associated abdominal distension.