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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Main Authors: Elisabetta Sforza, Domenico Limongelli, Valentina Giorgio, Gaia Margiotta, Francesco Proli, Eliza Maria Kuczynska, Chiara Leoni, Donato Rigante, Ilaria Contaldo, Chiara Veredice, Emanuele Rinninella, Antonio Gasbarrini, Giuseppe Zampino, Roberta Onesimo
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/4/2173
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author Elisabetta Sforza
Domenico Limongelli
Valentina Giorgio
Gaia Margiotta
Francesco Proli
Eliza Maria Kuczynska
Chiara Leoni
Donato Rigante
Ilaria Contaldo
Chiara Veredice
Emanuele Rinninella
Antonio Gasbarrini
Giuseppe Zampino
Roberta Onesimo
author_facet Elisabetta Sforza
Domenico Limongelli
Valentina Giorgio
Gaia Margiotta
Francesco Proli
Eliza Maria Kuczynska
Chiara Leoni
Donato Rigante
Ilaria Contaldo
Chiara Veredice
Emanuele Rinninella
Antonio Gasbarrini
Giuseppe Zampino
Roberta Onesimo
author_sort Elisabetta Sforza
collection DOAJ
description 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.
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spelling doaj.art-6220025cc3d344bfb1cdd80980b6fec42023-11-16T18:51:57ZengMDPI AGApplied Sciences2076-34172023-02-01134217310.3390/app13042173The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping ReviewElisabetta Sforza0Domenico Limongelli1Valentina Giorgio2Gaia Margiotta3Francesco Proli4Eliza Maria Kuczynska5Chiara Leoni6Donato Rigante7Ilaria Contaldo8Chiara Veredice9Emanuele Rinninella10Antonio Gasbarrini11Giuseppe Zampino12Roberta Onesimo13Università Cattolica Sacro Cuore, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyPediatric Unit, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyCenter for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyCenter for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyPediatric Neuropsychiatry, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyPediatric Neuropsychiatry, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyUniversità Cattolica Sacro Cuore, 00168 Rome, ItalyCenter for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalySevere 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.https://www.mdpi.com/2076-3417/13/4/2173blenderized tube feedingenteral nutritiongastrostomychildrendisabledreview
spellingShingle Elisabetta Sforza
Domenico Limongelli
Valentina Giorgio
Gaia Margiotta
Francesco Proli
Eliza Maria Kuczynska
Chiara Leoni
Donato Rigante
Ilaria Contaldo
Chiara Veredice
Emanuele Rinninella
Antonio Gasbarrini
Giuseppe Zampino
Roberta Onesimo
The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
Applied Sciences
blenderized tube feeding
enteral nutrition
gastrostomy
children
disabled
review
title The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
title_full The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
title_fullStr The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
title_full_unstemmed The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
title_short The Impact of Blenderized Tube Feeding on Gastrointestinal Symptoms, a Scoping Review
title_sort impact of blenderized tube feeding on gastrointestinal symptoms a scoping review
topic blenderized tube feeding
enteral nutrition
gastrostomy
children
disabled
review
url https://www.mdpi.com/2076-3417/13/4/2173
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