Which of the following is NOT a contraindication to nasogastric tube feedings in a pediatric patient with cystic fibrosis?

• A. Chronic sinusitis
• B. Pancreatic insufficiency
• C. Need for long term nutrition support
• D. Chronic otitis

Answer: (B)

In cystic fibrosis, the choice to use an NG tube focuses on conditions that would make placing or tolerating the tube unsafe, not on digestive issues that can be managed. Pancreatic insufficiency is not a contraindication because it is a treatable digestion problem; you would continue pancreatic enzyme replacement with tube feeds to help digest the formula, so NG feeding remains appropriate. The need for long-term nutrition support is actually an indication for NG feeding, not a contraindication, while conditions like chronic sinusitis or chronic otitis may require careful assessment of nasal access but do not inherently disallow tube feeding.