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. 2020 Sep 18;11:574533. doi: 10.3389/fphar.2020.574533

Table 3.

Characteristics of fecal microbiota transplantation for pouchitis.

Study N Age (y) Disease Activity Delivery Frequency Donor Dosage Primary endpoint Follow up Remission Response
Landy et al., 2015 8 24–63 Chronic antibiotic refractory Pouchetis,PDAI ≥ 7 Nasogastric 1 NR 18 g stool/30 ml saline
solution)
PDAI ≤ 4 4 weeks 0% 25%
Nishida et al., 2019 3 24–52 PDAI ≥ 7 Colonoscopy 1 Related NR Reduction in total PDAI ≥ 3 at 8 weeks 8 weeks 0% 33%
Stallmach et al., 2016 5 26–40 Chronic antibiotic refractory pouchitis, PDAI 9–14 Jejunum via upper gastrointestinal tract endoscopy 1–7 (3–4 weeks intervals) Two unrelated 75 g stool
in 200 ml
saline
NR 3 months 80% at 4 weeks, 60% at 3 months 100%
Herfarth et al., 2019 6 22–60 Chronic antibiotic
refractory pouchi-
tis (mPDAI≥5
and a history
of ≥4 antibiotic
therapies for
pouchitis in the
last 12 months)
Endoscopic
(eFMT)
and oral
encapsulated
(oFMT)
eFMT: 2;
oFMT:
daily for
14 days
Unrelated eFMT: 12 g stool in 30 ml;
oFMT:
4.2 g stool
The safety of the combined eFMT
and oFMT
16 weeks 17% 17%
Selvig et al., 2020 19 18-74 Chronic pouchitis
(pouch symptoms > 4 weeks and endoscopic
evaluation con-
frming infamma-
tion of the pouch
Pouchoscopy 1–2 12 months 250 ml
donor
fecal
suspen-
sion (25 g
stool)
Clinical improvement at week 4. 12 months 0 9% (among
patients
receiving
double
FMT)

PDAI, Pouchitis Disease Activity Index; FMT, fecal microbiota transplantation; eFMT, endoscopic FMT; oFMT, oral encapsulated FMT.