4.5 Review

Fecal microbiota transplantation for patients with irritable bowel syndrome A meta-analysis protocol

Journal

MEDICINE
Volume 97, Issue 40, Pages -

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000012661

Keywords

fecal microbiota transplantation; irritable bowel syndrome; meta-analysis; protocol

Funding

  1. National Social Science Fund of China [17BTQ063, 15BGL158]
  2. Postgraduate Research and Practice Innovation Program of Jiangsu Province [KYCX17_1327]

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Irritable bowel syndrome (IBS) is a common functional bowel disease characterized by chronic or recurrent abdominal pain, bloating, constipation, and diarrhea. Many patients with IBShave a poor quality of life due to abdominal discomfort, diarrhea, constipation, and the presence of other diseases. At present, intestinal motility inhibitors, adsorbents, astringents, intestinal mucosal protective agents, and antidepressants have been combined to treat IBS, but the treatment process is long, which results in a large economic burden to patients. Fecal microbiota transplantation (FMT) is a treatment involving the transplantation of functional bacteria from healthy human feces into the gastrointestinal tract of patients; thus, replacing the intestinal flora and modulating intestinal and extra-intestinal diseases. In recent years, the efficacy and economic benefits of FMT in the treatment of IBS have received increasing attention from researchers. A search for randomized controlled trials (RCTs) on treating IBS with FMT will be performed using 9 databases, including PubMed, the Cochrane Library, Embase, ClinicalTrails, China National Knowledge Infrastructure, Sino Med, ScienceDirect, VIP, and Wanfang Data. Two reviewers will independently screen data extraction studies and assess study quality and risk of bias. The risk of bias for each RCT will be assessed against the Cochrane Handbook standards to assess methodological quality. RevMan V.5.3 software will be used to calculate data synthesis when meta-analysis is allowed. This study will provide a high-quality synthesis of existing evidence on the effectiveness and safety of FMT in the treatment of IBS. This study will determine if FMT is an effective and safe intervention for IBS.

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