Efficacy and safety of fecal microbiota transplantation in the treatment of ulcerative colitis: a systematic review and meta-analysis

To explore the efficacy and safety of fecal microbiota transplantation (FMT) as a treatment approach for ulcerative colitis (UC), a comprehensive systematic review and meta-analysis of randomized controlled trials was conducted. To collect and evaluate randomized controlled trials of high quality on...

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Bibliographic Details
Published in:Scientific reports 2023-09, Vol.13 (1), p.14494-14494, Article 14494
Main Authors: Feng, Jing, Chen, Yexin, Liu, Yan, Lin, Lin, Lin, Xiujuan, Gong, Wenxiu, Xia, Rongmu, He, Jianquan, Sheng, Jianwen, Cai, Huimei, Xiao, Chuanxing
Format: Article
Language:English
Subjects:
631/326
692/4020
Clinical trials
Endoscopy
Fecal microflora
Feces
Humanities and Social Sciences
Inflammatory bowel disease
Meta-analysis
Microbiota
multidisciplinary
Patients
Remission
Remission (Medicine)
Safety
Science
Science (multidisciplinary)
Side effects
Systematic review
Transplantation
Ulcerative colitis
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Summary:To explore the efficacy and safety of fecal microbiota transplantation (FMT) as a treatment approach for ulcerative colitis (UC), a comprehensive systematic review and meta-analysis of randomized controlled trials was conducted. To collect and evaluate randomized controlled trials of high quality on FMT for UC, we searched a number of databases, including PubMed, Web of Science, Cochrane, Embase, and Medline, for studies published between the establishment of the databases and March 2023. We conducted a meta-analysis of the studies using Review Manager software (version 5.4.1) to determine the differences in rates of remission and adverse reactions between the FMT group and the control group, utilizing the risk ratio ( RR ) and 95% confidence interval ( CI ) to combine our findings. A total of 13 randomized controlled trials (RCTs) on the efficacy of FMT in patients with UC were included in the study, in which 580 patients participated, including 293 patients treated with FMT and 287 control subjects. Meta-analysis revealed that clinical remission was significantly better in the FMT group than in the control group [ RR  = 1.73; 95% CI  = (1.41, 2.12); P  
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-023-41182-6