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Fecal microbiota transplantation in patients with slow-transit constipation: A randomized, clinical trial

Hongliang Tian, Xiaolong Ge, Yongzhan Nie, Linfeng Yang, Chao Ding, Lynne V McFarland, Xueying Zhang, Qiyi Chen, Jianfeng Gong and Ning Li

PLOS ONE, 2017, vol. 12, issue 2, 1-10

Abstract: Fecal microbiota transplantation has been proposed as a therapeutic approach for chronic constipation. This randomized, controlled trial aimed to compare the effects of conventional treatment alone (control) with additional treatment with FMT (intervention) in patients with slow-transit constipation (STC). Adults with STC were randomized to receive intervention or control treatment. The control group received education, behavioral strategies, and oral laxatives. The intervention group was additionally provided 6 days of FMT. The primary endpoint was the clinical cure rate (proportion of patients achieving a mean of ≥ three complete spontaneous bowel movements [CSBMs] per week]. Secondary outcomes and safety parameters were assessed throughout the study. Sixty patients were randomized to either conventional treatment alone (n = 30) or FMT (n = 30) through a nasointestinal tube. There were significant differences between the intervention group and control group in the clinical improvement rate (intention-to-treat [ITT]: 53.3% vs. 20.0%, P = 0.009), clinical cure rate (ITT: 36.7% vs. 13.3%, P = 0.04), mean number of CSBMs per week (ITT: 3.2 ± 1.4 vs. 2.1 ± 1.2, P = 0.001), and the Wexner constipation score (ITT: 8.6 ± 1.5 vs. 12.7 ± 2.5, P

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0171308

DOI: 10.1371/journal.pone.0171308

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