Wei Yao, Zhu Weiming, Gong Jianfeng, Guo Dong, Gu Lili, Li Ning, Li Jieshou
Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210002, China.
Gastroenterol Res Pract. 2015;2015:517597. doi: 10.1155/2015/517597. Epub 2015 Jun 4.
Introduction. To determine the effect of fecal microbiota transplantation (FMT) on quality of life (QoL) in patients with inflammatory bowel disease (IBD). Methods. Fourteen IBD patients, including 11 Ulcerative colitis (UC) and 3 Crohn's disease (CD), were treated with FMT via colonoscopy or nasojejunal tube infusion. QoL was measured by IBD Questionnaire (IBDQ). Disease activity and IBDQ were evaluated at enrollment and four weeks after treatment. Patients' attitude concerning the treatment was also investigated. Results. One patient was excluded due to intolerance. All the other patients finished the study well. Mean Mayo score in UC patients decreased significantly (5.80 ± 1.87 versus 1.50 ± 1.35, P < 0.01). Mean IBDQ scores of both UC and CD patients increased (135.50 ± 27.18 versus 177.30 ± 20.88, P = 0.00063, and 107.33 ± 9.45 versus 149.00 ± 20.07, P = 0.024) four weeks after fecal microbiota transplantation. There was no correlation between the IBDQ score and Mayo score before and after FMT. Patients refused to take FMT as treatment repeatedly in a short time. Conlusions. Fecal microbiota transplantation improves quality of life significantly in patients with inflammatory bowel disease.
引言。确定粪便微生物群移植(FMT)对炎症性肠病(IBD)患者生活质量(QoL)的影响。方法。14例IBD患者,包括11例溃疡性结肠炎(UC)和3例克罗恩病(CD),通过结肠镜检查或鼻空肠管输注接受FMT治疗。通过IBD问卷(IBDQ)测量生活质量。在入组时和治疗后四周评估疾病活动度和IBDQ。还调查了患者对治疗的态度。结果。1例患者因不耐受被排除。所有其他患者均顺利完成研究。UC患者的平均梅奥评分显著降低(5.80±1.87对1.50±1.35,P<0.01)。粪便微生物群移植四周后,UC和CD患者的IBDQ平均评分均升高(135.50±27.18对177.30±20.88,P = 0.00063,以及107.33±9.45对149.00±20.07,P = 0.024)。FMT前后IBDQ评分与梅奥评分之间无相关性。患者在短时间内多次拒绝将FMT作为治疗方法。结论。粪便微生物群移植显著改善炎症性肠病患者的生活质量。