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. 2022 Dec 8;9:1060581. doi: 10.3389/fmed.2022.1060581

TABLE 3.

Fecal microbiota transplant (FMT) delivery methods with advantages and disadvantages.

Delivery methods Advantages Disadvantages

Nasal tube
Delivery without sedation
Low costs
Useful if patient unable to swallow

Risk of vomiting and aspiration
Lowest efficacy

Endoscopy

It can be performed safely in patients at risk of post-colonoscopy complications

Discomfort associated with administration
Risk of vomiting and aspiration
Risk associated with the procedure
Requires sedation

Capsules
Non-invasive process
Time efficiency
Convenient administration
High cure rates
Can be repeated easily

Risk of vomiting and aspiration
Capsules can be large with higher mass

Colonoscopy

Most effective method
Can deliver fecal sample to the right colon
Most preferred invasive method
Can screen for other etiologies simultaneously

Risks for intestinal perforation and bleeding
Needs sedation
Need for a board-certified gastroenterologist
More costly
Important to stop anti-coagulants
Contraindications
Requires bowel preparation

Sigmoidoscopy

No sedation required
Can screen for distal 1/3rd colonic pathologies simultaneously
Risk for intestinal perforation and bleeding
Inability to use the area on the right side of the colon
Need for a board-certified gastroenterologist
Important to stop anti-coagulants
Bowel preparation recommended

Retention enema
Low costs
High tolerability
Without sedation
Easily repeated
Can be done in pediatric patients that cannot have a colonoscopy

Retention difficulties in some cases
Inability to use the area on the right side of the colon