If a patient with advanced hepatocellular carcinoma is unable to eat normally, it should first be determined whether the cause of inability to eat is due to tumor metastasis to the stomach causing digestive tract obstruction or due to other reasons. Patients should undergo further examination, such as CT scan or MRI of the whole abdomen, to determine the location of the obstruction and the possible cause of the obstruction. If the obstruction is due to the gastrointestinal tract, a jejunostomy tube can be placed under gastroscopy or radiation if necessary. After placement of the jejunal nutrition tube, enteral nutrition can be administered via the jejunal nutrition tube. Patients with possible GI obstruction may also be considered for laparoscopic or open GI short-circuit surgery or fistula. A nutrition tube is placed through the fistula and enteral nutrition is administered via the nutrition tube for a period of time. Patients should be careful to eat less fatty foods and high-protein diets, because fatty foods and high-protein diets may trigger the possibility of hepatic encephalopathy.