Mahajan Ramit, Midha Vandana, Singh Arshdeep, Mehta Varun, Gupta Yogesh, Kaur Kirandeep, Sudhakar Ritu, Singh Pannu Anmol, Singh Dharmatma, Sood Ajit
Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India.
Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, India.
Intest Res. 2020 Jul;18(3):337-340. doi: 10.5217/ir.2019.00108. Epub 2020 Apr 22.
Gut dysbiosis can result in several diseases, including infections (Clostridium difficile infection and infectious gastroenteritis), autoimmune diseases (inflammatory bowel disease, diabetes, and allergic disorders), behavioral disorders and other conditions like metabolic syndrome and functional gastrointestinal disorders. Amongst various therapies targeting gut microbiome, fecal microbiota transplantation (FMT) is becoming a focus in the public media and peer reviewed literature. We have been using FMT for induction of remission in patients with moderate to severe active ulcerative colitis (UC) and also for subsequent maintenance of remission. Four cases reported incidental benefits while being treated with FMT for UC. These included weight loss (n=1), improvement in hair loss (n=1), amelioration of axial arthritis (n=1) and improvement in allergic rhinitis (n=1), thereby suggesting potential clinical applications of FMT in treating extraintestinal diseases associated with gut dysbiosis.
肠道菌群失调可导致多种疾病,包括感染(艰难梭菌感染和感染性肠胃炎)、自身免疫性疾病(炎症性肠病、糖尿病和过敏性疾病)、行为障碍以及其他病症,如代谢综合征和功能性胃肠疾病。在针对肠道微生物群的各种疗法中,粪便微生物群移植(FMT)正成为公众媒体和同行评审文献关注的焦点。我们一直在使用FMT诱导中度至重度活动性溃疡性结肠炎(UC)患者缓解,并用于随后的缓解维持。有4例患者在接受FMT治疗UC时出现了意外益处。这些益处包括体重减轻(n = 1)、脱发改善(n = 1)、轴性关节炎改善(n = 1)和过敏性鼻炎改善(n = 1),从而提示FMT在治疗与肠道菌群失调相关的肠外疾病方面具有潜在的临床应用价值。