Enteral tube feeding for individuals with cystic fibrosis: Cystic Fibrosis Foundation evidence-informed guidelines.
Nutrition is integral to the care of individuals with cystic fibrosis (CF). Better nutritional status is associated with improved pulmonary function. In some individuals with CF, enteral tube feeding can be useful in achieving optimal nutritional status. Current nutrition guidelines do not include detailed recommendations for enteral tube feeding. The Cystic Fibrosis Foundation convened an expert panel to develop enteral tube feeding recommendations based on a systematic review of the evidence and expert opinion. These guidelines address when to consider enteral tube feeding, assessment of confounding causes of poor nutrition in CF, preparation of the patient for placement of the enteral feeding tube, management of the tube after placement and education about enteral feeding. These recommendations are intended to guide the CF care team, individuals with CF, and their families through the enteral tube feeding process.
University of Minnesota, Director, Pediatric Gastroenterology, Hepatology and Nutrition, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Minneapolis, MN 55454, United States. Electronic address: schwa005@umn.edu.
Sarah Jane
SJ
Schwarzenberg
Cystic Fibrosis Foundation, 6931 Arlington Road Suite 200, Bethesda, MD 20814, United States.
Sarah E
SE
Hempstead
Primary Children's Hospital, 100 Mario Capecchi Dr, Salt Lake City, UT 84132, United States.
Catherine M
CM
McDonald
Department of Pediatrics and Cincinnati Children's Research Foundation, University of Cincinnati College of Medicine and Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital, 3333 Burnet Ave, Cincinnati, OH 45229, United States.
Scott W
SW
Powers
Saint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO 63104, United States.
Jamie
J
Wooldridge
Emory University Cystic Fibrosis Center, 1605 Chantilly Dr NE, Atlanta, GA 30324, United States.
Shaina
S
Blair
Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, United States.
Steven
S
Freedman
Division of Pediatric Pulmonology, Department of Pediatrics, David Geffen School of Medicine at UCLA, Mattel Children's Hospital UCLA, 757 Westwood Plaza, Los Angeles, CA 90095, United States.
Elaine
E
Harrington
Adult Cystic Fibrosis Program, Pulmonary and Critical Care Medicine Division, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE S 42nd St & Emile St, Omaha, NE 68198, United States.
Peter J
PJ
Murphy
Div. of Gastroenterology & Nutrition, Loyola University Chicago Stritch School of Medicine, 2160 S 1st Ave, Maywood, IL 60153, United States.
Lena
L
Palmer
Barnes Jewish Hospital, Washington University Adult CF Center, 1 Barnes Jewish Hospital Plaza, St. Louis, MO 63110, United States.
Amy E
AE
Schrader
Community Advisor to the Cystic Fibrosis Foundation, 6931 Arlington Road Suite 200, Bethesda, MD 20814, United States.
Kyle
K
Shiel
Pediatric Gastroenterology and Nutrition, University of Vermont Children's Hospital, and Department of Pediatrics, University of Vermont College of Medicine, 89 Beaumont Ave, Burlington, VT 05405, United States.
Jillian
J
Sullivan
Community Advisor to the Cystic Fibrosis Foundation, 6931 Arlington Road Suite 200, Bethesda, MD 20814, United States.
Melissa
M
Wallentine
Cystic Fibrosis Foundation, 6931 Arlington Road Suite 200, Bethesda, MD 20814, United States.
Bruce C
BC
Marshall
Advanced Nutrition Practitioner, Division of Pediatric Gastroenterology, Nutrition and Hepatology, The Johns Hopkins Children's Center, 1800 Orleans Street, Bloomberg 9306, Baltimore, MD, 21287, United States. Electronic address: aleonar1@jhmi.edu.
Amanda Radmer
AR
Leonard
D003550:Cystic Fibrosis / Q000503:physiopathology / Q000628:therapy; D004750:Enteral Nutrition / Q000379:methods*; D006801:Humans; D009752:Nutritional Status; D017410:Practice Guidelines as Topic
Cystic fibrosis; Enteral nutrition; Feeding tube; Gastrostomy; Nasojejunal tube