Table 3.
Approaches | Advantage | Disadvantage |
---|---|---|
Nasogastric/nasoduodenal/nasojejunal |
Avoids sedation Low cost |
Discomfort of tube placement Risk of vomiting and aspiration Inability to evaluate mucosa or take biopsies |
Capsules |
No sedation risk Less invasive Can be administered in office setting |
Expensive Less effective than colonoscopy Capsule burden Risks of vomiting and aspiration |
Colonoscopy |
Ability to evaluate mucosa and take biopsies Most effective route for treatment of rCDI |
Invasive and requires sedation Standard risks of colonoscopy (discomfort, perforation, bleeding) Expensive |
Enema |
Low cost Less invasive and avoids sedation Easy to carry out in office or at home |
Donor stool does not reach the entire colon and limited to distal colon Less effective than other routes for rCDI |
FMT fecal microbiota transplantation, rCDI recurrent Clostridium difficile infection