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Fecal Microbiota Transplantation for Ulcerative Colitis: A Systematic Review and Meta-Analysis

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  • Yanqiang Shi
  • Yiwei Dong
  • Wenhui Huang
  • Decong Zhu
  • Hua Mao
  • Peizhu Su

Abstract

Background: Fecal microbiota transplantation (FMT) has been recognized as a novel treatment for ulcerative colitis (UC). However, its efficacy and safety remain unclear. Objective: We conducted this systematic review to assess the efficacy and safety of FMT in UC. Data Sources: PubMed, EMBASE, Cochrane Central, Web of Science Core Collection, and three other Chinese databases were searched for reports of FMT in UC with clear outcomes. Data Extraction and Synthesis: We estimated pooled rates [with 95% confidence interval (CI)] of clinical remission among 15 cohort studies and clinical response among 16 cohort studies. Results: Twenty five studies (2 randomized controlled trials, 15 cohort studies, and 8 case studies) with 234 UC patients were included. Overall, 41.58% (84/202) patients achieved clinical remission (CR) and 65.28% (126/193) achieved clinical response. Among the cohort studies, the pooled estimate of patients who achieved CR and clinical response were 40.5% (95% CI 24.7%-58.7%), and 66.1% (95% CI 43.7%-83.0%). Most adverse events were slight and self-resolving. The analyses of gut microbiota in 7 studies showed that FMT could increase microbiota diversity and richness, similarity, and certain change of bacterial composition. Conclusion: FMT provides a promising effect for UC with few adverse events. Successful FMT may be associated with an increase in microbiota diversity and richness, similarity, and certain change of bacterial composition.

Suggested Citation

  • Yanqiang Shi & Yiwei Dong & Wenhui Huang & Decong Zhu & Hua Mao & Peizhu Su, 2016. "Fecal Microbiota Transplantation for Ulcerative Colitis: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-18, June.
    • Handle: RePEc:plo:pone00:0157259
    DOI: 10.1371/journal.pone.0157259
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    References listed on IDEAS

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    2. Tsang, Eric W. K., 2014. "Old and New," Management and Organization Review, Cambridge University Press, vol. 10(03), pages 390-390, November.
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