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The first international Rome consensus conference on gut microbiota and faecal microbiota transplantation in inflammatory bowel disease
Open accessAbstract
Background: Several randomised clinical trials (RCTs) performing faecal microbiota transplantation (FMT) for the management of inflammatory bowel disease (IBD), particularly for ulcerative colitis, have recently been published, but with major variations in study design. These include differences in administered dose, route and frequency of delivery, type of placebo and evaluated endpoints. Although the overall outcomes appear to be promising, they are highly dependent on both donor and recipient factors. Objective: To develop concensus-based statements and recommendations for the evaluation, management and potential treatment of IBD using FMT in order to move towards standardised practices. Design: An international panel of experts convened several times to generate evidence-based guidelines by performing a deep evaluation of currently available and/or published data. Twenty-five experts in IBD, immunology and microbiology collaborated in different working groups to provide statements on the following key issues related to FMT in IBD: (A) pathogenesis and rationale, (B) donor selection and biobanking, (C) FMT practices and (D) consideration of future studies and perspectives. Statements were evaluated and voted on by all members using an electronic Delphi process, culminating in a plenary consensus conference and generation of proposed guidelines. Results and conclusions: Our group has provided specific statements and recommendations, based on best available evidence, with the end goal of providing guidance and general criteria required to promote FMT as a recognised strategy for the treatment of IBD.
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“In addition, FMT is limited by its variable degree of engraftment, limited scalability, and a lack of standardized protocols.725,726”
From Microbiota–gut–brain axis and its therapeutic applications in neurodegenerative diseases (2024) · cites this paper as [725]
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Metadata
- Authors
- Lopetuso, L. R., Deleu, S., Godny, L., Petito, V., Puca, P., Facciotti, F., Sokol, H., Ianiro, G., Masucci, L., Abreu, M., Dotan, I., Costello, S. P., Hart, A., Iqbal, T. H., Paramsothy, S., Sanguinetti, M., Danese, S., Tilg, H., Cominelli, F., Pizarro, T. T., Armuzzi, A., Cammarota, G., Gasbarrini, A., Vermeire, S., & Scaldaferri, F.
- Affiliations
- Agostino Gemelli University Polyclinic (IT)
- KU Leuven (BE)
- Rabin Medical Center (IL)
- Università Cattolica del Sacro Cuore (IT)
- University of Milano-Bicocca (IT)
- Inserm (FR)
- University of Miami (US)
- Queen Elizabeth Hospital (AU)
- St Mark's Hospital (GB)
- University of Birmingham (GB)
- Concord Repatriation General Hospital (AU)
- IRCCS Ospedale San Raffaele (IT)
- Innsbruck Medical University (AT)
- Case Western Reserve University (US)
- Humanitas University (IT)
- Corresponding author
- Lopetuso, Loris Riccardo
- ORCID
- Lopetuso, Loris Riccardo
- Deleu, Sara
- Godny, Lihi
- Petito, Valentina
- Puca, Pierluigi
- Facciotti, Federica
- Sokol, Harry
- Ianiro, Gianluca
- Masucci, Luca
- Abreu, Maria
- Dotan, Iris
- Costello, Samuel Paul
- Hart, Ailsa
- Iqbal, Tariq H
- Paramsothy, Sudarshan
- Sanguinetti, Maurizio
- Danese, Silvio
- Tilg, Herbert
- Cominelli, Fabio
- Pizarro, Theresa T
- Armuzzi, Alessandro
- Cammarota, Giovanni
- Gasbarrini, Antonio
- Vermeire, Séverine
- Scaldaferri, Franco
- Venue
- Gut
- Publisher
- BMJ
- Published
- 2023-06-20
- Volume
- 72
- Issue
- 9
- Pages
- 1642-1650
- ISSN
- 0017-5749 (ISSN-L)
- 1468-3288
- PMC
- PMC10423477
- OpenAlex
- W4381332205
- Cited by
- 129
- References
- 66
- Citations by year
- 2026: 28 · 2025: 48 · 2024: 45 · 2023: 8
- FWCI
- 21.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Gut (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, cc-by-nc)
- Lirias (KU Leuven) (submittedVersion, cc-by-nc)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by-nc)
- HighWire Press Open Archive (submittedVersion)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Funders
- CCF Clinical Research Investigator-Initiated Award (N/A)
- Topics
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- 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, inflammatory bowel disease, ulcerative colitis, gut microbiota, donor selection
- MeSH terms
- Gastrointestinal Microbiome, Fecal Microbiota Transplantation, Colitis, Ulcerative, Humans, Rome, Inflammatory Bowel Diseases, Treatment Outcome
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