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Results of the First Pilot Randomized Controlled Trial of Fecal Microbiota Transplant In Pediatric Ulcerative Colitis: Lessons, Limitations, and Future Prospects

Nikhil Pai, Jelena Popov, Lee Hill, Emily Hartung, Kelly Grzywacz, Paul Moayyedi, Michael G. Surette, Christine Lee, David V. Godin, Jake C. Szamosi, Waliul I. Khan, Michelle Shah, Laura Rossi, Lehana Thabane, Michal Moshkovich, Melanie Figueiredo

2021Gastroenterology66 citationsDOIOpen Access PDF

Abstract

The incidence of childhood-onset inflammatory bowel disease (IBD) has increased significantly over the past decade.1 Despite advances in therapy families remain concerned about long-term harms of immunosuppressive therapy and their associated costs.2 The role of the enteric microbiome in IBD is well described and has been implicated in the pathogenesis of ulcerative colitis (UC).3 While drug development continues to focus on modifying dysregulated intestinal immune pathways, targeting enteric microbiota has become increasingly attractive.

Topics & Concepts

Fecal bacteriotherapyUlcerative colitisMedicineFecesRandomized controlled trialPilot trialInternal medicineIntensive care medicineBiologyMicrobiologyAntibioticsClostridium difficileDiseaseClostridium difficile and Clostridium perfringens researchMicroscopic ColitisGastrointestinal motility and disorders