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通过Foley导管经回肠造口术成功进行粪便微生物群移植治疗一名严重复杂感染患者

Successful Fecal Microbiota Transplant Delivered by Foley Catheter Through a Loop Ileostomy in a Patient With Severe Complicated Infection.

作者信息

Philip Shawn, Tageldin Omar, Mansoor Muhammed Sohail, Richter Seth

机构信息

Department of Internal Medicine, Albany Medical Center, Albany, NY.

Department of Gastroenterology, Albany Medical Center, Albany, NY.

出版信息

ACG Case Rep J. 2022 Jul 12;9(7):e00801. doi: 10.14309/crj.0000000000000801. eCollection 2022 Jul.

Abstract

infection (CDI) is a potentially life-threatening cause of diarrhea that can result in multiple complications. Fulminant CDI that is nonresponsive to antibiotics may require surgical ileostomy or fecal microbiota transplant (FMT). We present a case of a patient with fulminant CDI requiring surgical loop ileostomy who underwent a successful FMT delivered by Foley catheter through the ileostomy with symptom resolution. Delivery of FMT using a foley catheter in a patient with an ileostomy may be safe and effective for patients who are at a higher risk of complications associated with the instillation of FMT through colonoscopy with anesthesia.

摘要

艰难梭菌感染(CDI)是一种潜在的危及生命的腹泻病因,可导致多种并发症。对抗生素无反应的暴发性CDI可能需要手术行回肠造口术或粪便微生物群移植(FMT)。我们报告一例暴发性CDI患者,该患者需要手术行袢式回肠造口术,通过回肠造口术经Foley导管成功进行了FMT,症状得以缓解。对于因通过麻醉下结肠镜进行FMT灌注而出现并发症风险较高的患者,使用Foley导管对回肠造口术患者进行FMT可能是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b29f/9278911/9eac79a3946a/ac9-9-e00801-g001.jpg

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