In cystic fibrosis with pancreatic insufficiency, what is added to enteral feeds to aid digestion and absorption of nutrients?

• A. Probiotics
• B. Vitamin D
• C. Pancreatic enzymes
• D. Fiber

Answer: (C)

In cystic fibrosis with pancreatic insufficiency, the gut lacks the enzymes needed to break down fats, proteins, and carbohydrates. Adding pancreatic enzymes to enteral feeds supplies those missing hydrolases, especially lipase, which is essential for fat digestion. With these enzymes present, fats and other nutrients are broken down more effectively, allowing better absorption and reducing malnutrition and steatorrhea. Probiotics and vitamins can support overall health, but they don’t replace the missing digestive enzymes; fiber changes stool but doesn’t enable enzymatic digestion.