Fecal Transplant May Treat Stubborn C. diff
Study Shows Procedure Can End Symptoms of Diarrhea
FMT is not new. The first successful use was reported in 1958, with a transplant done by enema. In the U.S., the first case of FMT done by colonoscopy was reported in 2000.
Researchers try to get a stool sample from someone close to the patient, such as a spouse. They believe the healthy person will have exposure to some of the same bacteria, living in the same environment, so their stool will be a good match.
Before transplant, the donor's sample is screened for hepatitis, HIV, and syphilis, Brandt says.
Martin H. Floch, MD, MS, clinical professor of medicine at Yale University, says that the process is simple. He reviewed the study findings for WebMD.
Although the new study reported no complications, Floch says it is possible some could develop later.
He cautions that the donor stool must be thoroughly screened to avoid disease transmission.
Overall, however, he considers the results good news. The 91% success rate, he says, is ''terrific. Nine out of 10 people doing this succeed, and remember these are resistant cases."
Although more study is needed, he says FMT should be viewed as a successful therapy for stubborn cases when medications don't work.
This study was presented at a medical conference. The findings should be considered preliminary as they have not yet undergone the "peer review" process, in which outside experts scrutinize the data prior to publication in a medical journal.