Benefits of Blenderized Tube Feeding in Gastrointestinal Problems in Children with Cerebral Palsy: A Scoping Review.
Abstract
Abstract
Introduction
Cerebral palsy (CP) encompasses a group of permanent disorders affecting movement and posture,
significantly limiting the ability to perform daily activities. Gastrointestinal problems, such as
gastroesophageal reflux disease (GERD) and constipation, are prevalent in children with CP,
impacting their quality of life and nutritional status. Blenderized tube feeding (BTF) has emerged
as a promising alternative to commercial formulas for addressing these challenges.
Objectives
To evaluate existing evidence on the benefits of BTF in managing gastrointestinal problems in
children with CP, identifying knowledge gaps and opportunities for future research.
Methods
A scoping review was conducted following the PRISMA-ScR methodology. Studies published
between 2014 and 2024 in English and Spanish were included, focusing on children with CP who
received BTF via gastrostomy tube. Randomized controlled trials, cohort studies, case reports,
systematic reviews, and grey literature were analyzed. Results were extracted and categorized
based on their impact on gastrointestinal problems such as GERD, constipation, vomiting, and
abdominal pain.
Results
Out of 182 identified articles, 10 met the inclusion criteria. BTF demonstrated significant benefits,
including a lower incidence of GERD and constipation (p = 0.04), a 73% reduction in
gastrointestinal symptoms, and better tolerance to feeding volumes. Additionally, caregivers
reported improvements in their perception of the feeding process and enhanced psychosocial wellbeing for both patients and their families.
Conclusions
BTF is an effective and accessible alternative for managing gastrointestinal problems in children
with CP, offering notable psychosocial benefits. However, the lack of standardized guidelines and
robust long-term evidence underscores the need for further research to ensure its safe and
consistent implementation.
Keywords
Blenderized tube feeding, cerebral palsy, gastroesophageal reflux disease, constipation, quality of
life, scoping review.
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