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. 2022 Dec 9:1–10. Online ahead of print. doi: 10.1007/s12519-022-00655-w

Table 3.

Advantages and disadvantages of the different delivery approaches for FMT

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