Gastrointestinal and Hepatobiliary Disease in Cystic Fibrosis
Megan E Gabel1, Gary J Galante2, Steven D Freedman3
1Division of Pediatric Gastroenterology, Golisano Children's Hospital at Strong, University of Rochester, Rochester, New York.
Insights
Cystic fibrosis (CF) significantly impacts the gastrointestinal (GI) system, affecting most patients. Advances in CF treatment are increasing life expectancy, making GI health a priority for improved quality of life.
Area of Science:
- Gastroenterology
- Pulmonology
- Genetics
Background:
- Cystic fibrosis (CF) is a genetic disorder affecting multiple organs, with significant gastrointestinal (GI) involvement.
- Up to 85% of individuals with CF experience GI symptoms, impacting morbidity and mortality.
- Increased life expectancy due to CFTR modulators shifts focus to GI health for quality of life.
Purpose of the Study:
- To provide an updated overview of GI and hepatic manifestations in CF.
- To highlight the importance of managing GI issues in the context of improved CF survival.
- To inform healthcare providers about the spectrum of GI diseases in CF patients.
Main Methods:
- Literature review of current research on GI and hepatic diseases in CF.
- Synthesis of information regarding common and emerging GI complications.
- Focus on the impact of CFTR modulator therapies on GI health.
Main Results:
- GI symptoms are highly prevalent in CF, contributing to significant patient burden.
- Common GI issues include GERD, dysbiosis, and chronic abdominal pain.
- Hepatobiliary disease and colorectal cancer screening are critical considerations for long-lived CF patients.
Conclusions:
- Optimizing GI health is crucial for enhancing the well-being of individuals with CF.
- Awareness of diverse GI manifestations is essential for comprehensive CF care.
- Proactive management of GI and hepatic conditions improves outcomes in the growing CF population.
Abstract:
Cystic fibrosis (CF) is a multiorgan disease, and gastrointestinal (GI) manifestations can contribute to significant morbidity and mortality for individuals with CF. Up to 85% of patients with CF experience GI symptoms, thus addressing the GI aspects of this disease is paramount. With the advent of highly effective CF transmembrane conductance regulator modulators that are increasingly available, many individuals with CF now have significantly improved life expectancy. With these advances, GI manifestations that can be a detriment to quality of life such as gastroesophageal reflux disease, dysbiosis, and chronic abdominal pain have become a priority for patients and caregivers. In addition, as individuals have increased longevity, it has become essential for care providers to be aware of topics such as hepatobiliary disease and colorectal cancer screening. An understanding of the wide scope of GI manifestations in CF can enable providers to optimize the overall health and well-being of their patients. In this review, we aim to provide an up-to-date overview of key aspects of GI and hepatic disease in CF.
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