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Fecal microbiota transplantation to patients with refractory very early onset ulcerative colitis
Journal article   Open access   Peer reviewed

Fecal microbiota transplantation to patients with refractory very early onset ulcerative colitis

Toshifumi Yodoshi and Thomas L. Hurt
Pediatric gastroenterology, hepatology & nutrition, Vol.21(4), pp.355-360
10/01/2018
DOI: 10.5223/pghn.2018.21.4.355
PMID: 30345252
url
https://doi.org/10.5223/pghn.2018.21.4.355View
Published (Version of record) Open Access

Abstract

Recently, fecal microbiota transplantation (FMT) has been attracting attention as a possible medical treatment of ulcerative colitis (UC). A randomized controlled trial of FMT for children with UC is currently underway. Therapeutic effects of FMT for adults with UC remain controversial. We report two cases of early-onset UC in children. A patient was diagnosed with UC at age 1-year 9-month and underwent FMT at age 2-year 3-month. He attained clinical remission for three weeks after FMT, but then relapsed at four weeks, ultimately undergoing a total colectomy. Another child was diagnosed with UC at 2-year 10-month and she underwent FMT at age 5 years. She has remained in clinical remission following FMT for 24 months and her UC has been maintained without complications with tacrolimus and azathioprine. We report that FMT for early-onset UC appears to be safe and potentially effective.
Colectomy Fecal microbiota transplantation Gastrointestinal microbiome Inflammatory bowel colitis Ulcerative colitis

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