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Efficacy and safety of fecal microbiota transplantation for treatment of ulcerative colitis: A post-consensus systematic review and meta-analysis.
Zhang, Jin-Tao; Zhang, Nan; Dong, Xue-Tao; Wang, Xiao-Ran; Ma, Hong-Wen; Liu, Yan-Di; Li, Mu-Ran.
Afiliación
  • Zhang JT; Department of Clinical Medicine, School of Medicine, Nankai University, Tianjin 300071, China.
  • Zhang N; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China.
  • Dong XT; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China.
  • Wang XR; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China.
  • Ma HW; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China.
  • Liu YD; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China.
  • Li MR; Department of Gastroenterology, Tianjin Union Medical Center, Tianjin 300122, China. muranli@126.com.
World J Clin Cases ; 12(21): 4691-4702, 2024 Jul 26.
Article en En | MEDLINE | ID: mdl-39070844
ABSTRACT

BACKGROUND:

Numerous studies have assessed the efficacy and safety of fecal microbiota transplantation (FMT) as a therapy for ulcerative colitis (UC). However, the treatment processes and outcomes of these studies vary.

AIM:

To evaluate the efficacy and safety of FMT for treating UC by conducting a systematic meta-analysis.

METHODS:

The inclusion criteria involved reports of adult patients with UC treated with FMT, while studies that did not report clinical outcomes or that included patients with infection were excluded. Clinical remission (CR) and endoscopic remission (ER) were the primary and secondary outcomes, respectively.

RESULTS:

We included nine studies retrieved from five electronic databases. The FMT group had better CR than the control group [relative risk (RR) = 1.53; 95% confidence interval (CI) 1.19-1.94; P < 0.0008]. ER was statistically significantly different between the two groups (RR = 2.80; 95%CI 1.93-4.05; P < 0.00001). Adverse events did not differ significantly between the two groups.

CONCLUSION:

FMT demonstrates favorable performance and safety; however, well-designed randomized clinical trials are still needed before the widespread use of FMT can be recommended. Furthermore, standardizing the FMT process is urgently needed for improved safety and efficacy.
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Texto completo: 1 Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Base de datos: MEDLINE Idioma: En Revista: World J Clin Cases Año: 2024 Tipo del documento: Article País de afiliación: China