The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review

Severe gastrointestinal symptoms are one of the main reasons for switching from conventional artificial tube feeding to blenderized tube feeding (BTF). This study aimed to describe and quantify the impact of BTF on gastrointestinal symptoms in children and adults. We analyzed four databases (PubMed,...

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Bibliographic Details
Published in:Applied sciences 2023-02, Vol.13 (4), p.2173
Main Authors: Sforza, Elisabetta, Limongelli, Domenico, Giorgio, Valentina, Margiotta, Gaia, Proli, Francesco, Kuczynska, Eliza Maria, Leoni, Chiara, Rigante, Donato, Contaldo, Ilaria, Veredice, Chiara, Rinninella, Emanuele, Gasbarrini, Antonio, Zampino, Giuseppe, Onesimo, Roberta
Format: Article
Language:English
Subjects:
Adults
Bias
blenderized tube feeding
children
Constipation
Cross-sectional studies
Diarrhea
disabled
Enteral nutrition
Feeding
Food
Gastroesophageal reflux
Gastrointestinal symptoms
gastrostomy
Nutrition
Ostomy
Parenteral nutrition
Pediatrics
Quality assessment
Quality control
review
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Summary:Severe gastrointestinal symptoms are one of the main reasons for switching from conventional artificial tube feeding to blenderized tube feeding (BTF). This study aimed to describe and quantify the impact of BTF on gastrointestinal symptoms in children and adults. We analyzed four databases (PubMed, Scopus, Cochrane Library, and Google Scholar). The review was performed following the PRISMA extension for Scoping Reviews checklist. The methodological quality of articles was assessed following the NIH quality assessment tools. The initial search yielded 535 articles and, after removing duplicates and off-topic articles, 12 met the inclusion criteria. All included papers unanimously converged in defining an improvement of gastrointestinal symptoms during blenderized feeding: the eight studies involving pediatric cohorts report a decrease from 30 to over 50% in gagging and retching after commencing BTF. Similar rates are reported for constipation and diarrhea improvement in most critically ill adults. Experimental studies and particularly randomized controlled trials are needed to develop robust evidence on the effectiveness of BTF in gastrointestinal symptom improvement with prolonged follow-up and adequate medical monitoring.
ISSN:2076-3417
2076-3417
DOI:10.3390/app13042173