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粪菌移植在儿童中的应用综述——探索其在炎症性肠病治疗中的作用。

A Review of Fecal Microbiota Transplantation in Children-Exploring Its Role in the Treatment of Inflammatory Bowel Diseases.

机构信息

School of Medicine, Western Sydney University, Campbelltown Campus, Sydney, NSW 2747, Australia.

Canterbury Hospital, Sydney, NSW 2194, Australia.

出版信息

Medicina (Kaunas). 2024 Nov 20;60(11):1899. doi: 10.3390/medicina60111899.

Abstract

: There is an increasing use of fecal matter transplantation (FMT) worldwide as research into the impact of the gut microbiome in various disease states is growing. FMT is the transfer of stool from a healthy human donor to a patient for the purpose of restoring intestinal dysbiosis. This review will assess the efficacy and safety of FMT in the treatment of pediatric inflammatory bowel diseases (IBDs) and explore the future directions of the use of FMT in children. : A systematic review was performed where a literature search of publications published prior to 15 September 2023 was performed. Efficacy outcomes and safety data as well as microbiome analysis were reviewed from the studies where applicable. : Nine studies on UC and two studies on CD satisfied eligibility criteria and individually analysed. Most of the studies provided microbiome analyses. : FMT is a safe treatment for paediatric IBD, and is shown to be effective in inducing clinical response by some studies. However the lack of randomized controlled trials limited the results of our study.

摘要

: 随着人们对肠道微生物组在各种疾病状态中的影响的研究不断增加,粪便移植(FMT)在全球范围内的应用越来越多。FMT 是将健康供体的粪便转移到患者体内,以恢复肠道菌群失调。本综述将评估 FMT 在治疗儿科炎症性肠病(IBD)中的疗效和安全性,并探讨 FMT 在儿童中的未来应用方向。 : 进行了系统评价,对截至 2023 年 9 月 15 日之前发表的出版物进行了文献检索。对适用的研究进行了疗效结果和安全性数据以及微生物组分析的审查。 : 有 9 项关于 UC 的研究和 2 项关于 CD 的研究符合入选标准并进行了单独分析。大多数研究都提供了微生物组分析。 : FMT 是治疗小儿 IBD 的一种安全有效的方法,一些研究表明它能有效诱导临床缓解。然而,缺乏随机对照试验限制了我们研究的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cf4/11596230/9049ceb463eb/medicina-60-01899-g001.jpg

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