The practice of fecal microbiota transplantation in inflammatory bowel disease

Current evidence posits a central role for gut microbiota and the metabolome in the pathogenesis and progression of inflammatory bowel disease (IBD). Fecal microbiota transplantation (FMT) has been established as a means to manipulate this microbiome safely and sustainably. Several aspects of the te...

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Main Authors: Umang Arora, Saurabh Kedia, Vineet Ahuja
Format: Article
Language:English
Published: Korean Association for the Study of Intestinal Diseases 2024-01-01
Series:Intestinal Research
Subjects:
Online Access:http://irjournal.org/upload/pdf/ir-2023-00085.pdf
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author Umang Arora
Saurabh Kedia
Vineet Ahuja
author_facet Umang Arora
Saurabh Kedia
Vineet Ahuja
author_sort Umang Arora
collection DOAJ
description Current evidence posits a central role for gut microbiota and the metabolome in the pathogenesis and progression of inflammatory bowel disease (IBD). Fecal microbiota transplantation (FMT) has been established as a means to manipulate this microbiome safely and sustainably. Several aspects of the technical improvement including pretreatment with antibiotics, use of frozen stool samples as well as short donor-to-recipient time are proposed to improve its response rates. Its efficacy in ulcerative colitis has been proven in clinical trials while data is emerging for Crohn’s disease. This review describes briefly the biology behind FMT, the available evidence for its use in IBD, and the host, recipient and procedural factors which determine the clinical outcomes.
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spelling doaj.art-2273701a4d0941069e041874f961e1392024-02-06T04:27:29ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562024-01-01221446410.5217/ir.2023.000851033The practice of fecal microbiota transplantation in inflammatory bowel diseaseUmang Arora0Saurabh Kedia1Vineet Ahuja Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, IndiaCurrent evidence posits a central role for gut microbiota and the metabolome in the pathogenesis and progression of inflammatory bowel disease (IBD). Fecal microbiota transplantation (FMT) has been established as a means to manipulate this microbiome safely and sustainably. Several aspects of the technical improvement including pretreatment with antibiotics, use of frozen stool samples as well as short donor-to-recipient time are proposed to improve its response rates. Its efficacy in ulcerative colitis has been proven in clinical trials while data is emerging for Crohn’s disease. This review describes briefly the biology behind FMT, the available evidence for its use in IBD, and the host, recipient and procedural factors which determine the clinical outcomes.http://irjournal.org/upload/pdf/ir-2023-00085.pdffecal microbiota transplantationmicrobiotainflammatory bowel diseasesmicrobiome manipulation therapy
spellingShingle Umang Arora
Saurabh Kedia
Vineet Ahuja
The practice of fecal microbiota transplantation in inflammatory bowel disease
Intestinal Research
fecal microbiota transplantation
microbiota
inflammatory bowel diseases
microbiome manipulation therapy
title The practice of fecal microbiota transplantation in inflammatory bowel disease
title_full The practice of fecal microbiota transplantation in inflammatory bowel disease
title_fullStr The practice of fecal microbiota transplantation in inflammatory bowel disease
title_full_unstemmed The practice of fecal microbiota transplantation in inflammatory bowel disease
title_short The practice of fecal microbiota transplantation in inflammatory bowel disease
title_sort practice of fecal microbiota transplantation in inflammatory bowel disease
topic fecal microbiota transplantation
microbiota
inflammatory bowel diseases
microbiome manipulation therapy
url http://irjournal.org/upload/pdf/ir-2023-00085.pdf
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