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Fecal Microbiota Transplantation: Indications, Methods, Evidence, and Future Directions
Open accessAbstract
Fecal microbiota transplantation (FMT) has attracted great interest in recent years, largely due to the global Clostridium difficile infection (CDI) epidemic and major advances in metagenomic sequencing of the gastrointestinal (GI) microbiota, with growing understanding of its structure and function. FMT is now recommended as the most effective therapy for relapsing CDI and, with further refinement, may even be used in "first-time" CDI. There is interest also in other conditions related to GI dysbiosis--for example, inflammatory bowel disease, irritable bowel syndrome, obesity, and diabetes mellitus--although quality evidence is at present lacking. A few trials are now underway in FMT for ulcerative colitis. Many unanswered questions remain, including FMT methodology--for example, optimal route of administration, what makes a "good donor," safety issues, and long-term effects of FMT.
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“Since that publication, the lead Author has treated with FMT more than 300 DIBS patients whose symptoms had failed to respond to conventional therapies [306]”
From Gut microbiota role in irritable bowel syndrome: New therapeutic strategies (2016) · cites this paper as [306]
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Metadata
- Authors
- Borody, T. J., Paramsothy, S., & Agrawal, G.
- Affiliations
- Centre For Digestive Diseases (AU)
- St Vincent's Hospital Sydney (AU)
- Corresponding author
- Borody, Thomas J.
- Venue
- Current Gastroenterology Reports
- Published
- 2013-07-14
- Volume
- 15
- Issue
- 8
- Pages
- 337-337
- ISSN
- 1522-8037 (ISSN-L)
- 1534-312X
- PMC
- PMC3742951
- OpenAlex
- W2112681005
- Cited by
- 275
- References
- 62
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 23 · 2023: 25 · 2022: 15 · 2021: 41 · 2020: 21 · 2019: 20 · 2018: 22 · 2017: 23 · 2016: 20 · 2015: 19 · 2014: 22 · 2013: 6
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Gastroenterology Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- U.S. Food and Drug Administration
- Topics
- Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- fecal microbiota transplantation, Clostridium difficile infection, gut dysbiosis, gut microbiota, inflammatory bowel disease, ulcerative colitis, irritable bowel syndrome, obesity, diabetes mellitus, donor selection, route of administration
- MeSH terms
- Biological Therapy, Enterocolitis, Pseudomembranous, Feces, Humans, Inflammatory Bowel Diseases, Evidence-Based Medicine, Gastrointestinal Tract, Irritable Bowel Syndrome, Microbiota
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