Division of Gastroenterology, Department of Medicine, University of California San Francisco, 513 Parnassus Avenue, Room S357, San Francisco, CA 94143, USA.
Division of Gastroenterology, Indiana University, 550 North University Boulevard, Suite 1634, Indianapolis, IN 46202, USA.
Gastroenterol Clin North Am. 2020 Dec;49(4):739-752. doi: 10.1016/j.gtc.2020.08.006. Epub 2020 Sep 25.
"Patients with inflammatory bowel disease, including ulcerative colitis (UC) and Crohn disease, have altered gut microbiomes. The success of fecal microbiota transplantation (FMT) in the treatment of Clostridioides difficile infection, a disease that is also marked by dysbiosis, has spurred research in applying FMT to UC. So far, 3 randomized controlled trials have demonstrated benefit in mild to moderate UC disease course after FMT. However, important questions regarding optimal stool preparation, route, and frequency of administration, as well as characteristics of the stool donor and recipient still remain."
患有炎症性肠病(包括溃疡性结肠炎和克罗恩病)的患者的肠道微生物组发生了改变。粪便微生物群移植(FMT)在治疗梭状芽胞杆菌感染(一种同样以菌群失调为特征的疾病)方面取得的成功,促使人们对将 FMT 应用于溃疡性结肠炎的治疗进行研究。到目前为止,3 项随机对照试验已经证明 FMT 对轻度至中度溃疡性结肠炎病程有益。然而,关于最佳粪便准备、途径和给药频率,以及供体和受体粪便的特征等重要问题仍有待解决。