Journal
MEDICINE
Volume 101, Issue 47, Pages -Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000031477
Keywords
oral fecal microbiota transplantation; protocol; recurrent bowel disease; systematic review
Categories
Funding
- Yunnan Provincial Science and Technology Department-Applied Basic Research Joint Special Funds of Chinese Medicine [202101AZ070001-268]
- Kunming Health Science and Technology Talent Cultivation Project and Ten Hundred Thousand talent project
- Health Research Project of Kunming Health and Health Commission [2022-04-01-009]
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This article evaluated the efficacy and safety of oral capsule fecal microbiota transplantation in the treatment of recurrent bowel disease, providing more comprehensive evidence for this treatment approach.
Background:Recurrent bowel disease (RBD) refers to the chronic, recurrent intestinal diseases, including recurrent Clostridium Difficile Infection (rCDI), inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), etc., these diseases have similar clinical characteristics, that is, abdominal pain, diarrhea, repeated attacks, prolonged recovery, etc. Clinically, there are relevant reports on the use of oral capsule fecal microbiota transplantation (oFMT) to treat RBD. However, both the advantages and disadvantages of clinical efficacy have been reported; there are some contradictions, the study sample size is too small, and the purpose of this systematic review was to evaluate the efficacy and safety of oral capsule fecal microbiota transplantation in the treatment of RBD. Methods:This systematic review will include articles identified through electronic searches of the PubMed, EMbase, and Cochrane Library. From inception to July 1, 2022. Two reviewers will independently search the database to conduct data extraction and assessment of study quality. Based on heterogeneity tests, data will be integrated using fixed or random effect models. RevMan V.5.4 will be used for data analysis. The results are expressed as the risk ratio of dichotomous data and the mean difference of continuous data. Results:We analyzed the clinical remission or cure rate, IBS-SSS, quality of life, anxiety, depression, total adverse effects, and total severe adverse effects (TSAE) in patients with RBD. Conclusion:This systematic review evaluated the efficacy and safety of oFMT in the treatment of RBD to provide more comprehensive evidence.
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