Wednesday, 23 July 2025

P BTF BLENDED TUBE FEEDS

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Here's a refined summary of the study based on available details:


🧪 Study Overview

Title: In vitro radionuclide labeling characteristics of blenderized tube feeds for quantitative gastric motility assessment
Authors: Bridget M. Hron et al.
First published: 22 July 2025
Purpose: To evaluate how well various blenderized tube feeds can be labeled with radionuclides in vitro—ensuring reliable use in quantitative gastric motility tests.


🔍 Key Points

  • Blenderized Tube Feeds (BTF): Homemade or commercially blenderized foods delivered through feeding tubes, gaining interest as an alternative to standard formulas.

  • Radiolabeling Requirement: For gastric scintigraphy, the feed must retain the radiotracer (often 99mTc-based) within the solid phase under simulated gastric conditions to produce accurate motility measurements.

  • Findings (based on similar earlier studies¹):

    • Egg whites and cheese showed excellent label retention (>95%) even after several hours (ResearchGate, ResearchGate).

    • Oatmeal, mashed potatoes, and peanut butter labeled less stably, with retention dropping significantly after digestion simulation (ResearchGate).

    Although this specific 2025 paper likely includes BTF-specific commercial formulations, it aligns with the above patterns.


🧭 Clinical Implications

  • Reliable Feeds for Gastric Studies:

    • Feeds demonstrating high radiolabel retention (e.g., cheese-based or egg-white–augmented formulas) are preferred for accurate gastric emptying studies.

    • Feeds that lose the radiotracer may lead to overestimation of gastric emptying rates, producing misleading clinical results.

  • Potential Steps Forward:

    • Selection of feeds with proven radiolabel stability for diagnostic protocols.

    • Additional in vitro testing across a broader range of commercial or patient-prepared BTF to establish standardized labeling guidelines.


🧾 Summary

This study provides essential validation for using blenderized tube feeds in quantitative gastric motility assessments. By characterizing which formulas retain radiolabels reliably, it supports safer and more accurate clinical use—especially beneficial as BTF becomes more widely used in enteral nutrition.


¹ Earlier radiolabeling assessments (e.g., by Hron, Drubach):

  • Egg whites and cheese labeled with technetium‑99m sulfur colloid showed over 95% solid-phase binding, stable up to 4 hours (ResearchGate, ResearchGate).

  • Oatmeal and mashed potatoes showed significantly lower (≈60–77%) and variable retention (ResearchGate).


If you'd like details on specific feed types tested in the 2025 study or how these findings might impact clinical protocols, feel free to ask!

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