Current applications of fecal microbiota transplantation in intestinal disorders

Kaohsiung J Med Sci. 2019 Jun;35(6):327-331. doi: 10.1002/kjm2.12069. Epub 2019 Apr 24.

Abstract

Fecal microbiota transplantation (FMT) had been an ancient remedy for severe illness several centuries ago. Under modern medical analysis and evidence-based research, it has been proved as an alternative treatment for recurrent Clostridium difficile infection and recent randomized control study also showed that FMT could be an adjuvant treatment for inflammatory bowel disease. As we get a better understanding of the relationship between gut microbiota and systemic disease, FMT became a potential treatment to explore. This article summarized procedures such as donor selection, fecal material preparation, transplantation delivery methods, and adverse events. We also review the present evidence about FMT in clinical practice.

Keywords: Clostridium difficile infection; fecal microbiota transplantation; inflammatory bowel disease.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Administration, Rectal
  • Clostridioides difficile / pathogenicity
  • Clostridioides difficile / physiology
  • Clostridium Infections / microbiology
  • Clostridium Infections / pathology
  • Clostridium Infections / therapy*
  • Constipation / etiology
  • Constipation / physiopathology
  • Diarrhea / etiology
  • Diarrhea / physiopathology
  • Enema / methods
  • Fecal Microbiota Transplantation / adverse effects
  • Fecal Microbiota Transplantation / methods*
  • Feces / microbiology
  • Fever / etiology
  • Fever / physiopathology
  • Flatulence / etiology
  • Flatulence / physiopathology
  • Gastrointestinal Microbiome / physiology
  • Humans
  • Inflammatory Bowel Diseases / microbiology
  • Inflammatory Bowel Diseases / pathology
  • Inflammatory Bowel Diseases / therapy*
  • Randomized Controlled Trials as Topic
  • Vomiting / etiology
  • Vomiting / physiopathology