Joachim, Alexander, Schwerd, Tobias, Hoelz, Hannes, Sokollik, Christiane, Konrad, Lukas Alfons, Jordan, Alexander, Lanzersdorfer, Roland, Schmidt-Choudhury, Anjona, Huenseler, Christoph and Adam, Ruediger (2022). Fecal Microbiota Transfer (FMT) in Children and Adolescents - Review and statement by the GPGE microbiome working group. Z. Gastroent., 60 (6). S. 963 - 970. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-7803

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Abstract

The human microbiome and especially the gastrointestinal microbiota are associated with health and disease. Disturbance in the composition or function of fecal microbiota (dysbiosis) plays a role in the development of pediatric gastrointestinal diseases. Fecal microbiota transfer (FMT) is a special intervention, where microbiota are transferred from a healthy donor. In this review we describe the current state of knowledge for FMT in pediatric patients. There is satisfactory evidence concerning FMT in patients with recurrent C. difficile infection. For inflammatory bowel disease, few studies show a potential benefit. Adverse events occurred frequently in clinical studies, but were mostly mild and transient. There are hardly any data on long-term side effects of FMT, which are particularly significant for pediatrics. In practice, there is uncertainty as to which application route, dosage or frequency should be used. Legally, donor stool is considered a drug in German-speaking countries, for which no marketing authorization exists. In conclusion, knowledge about physiology, efficacy and side effects of FMT is insufficient and legal concerns complicate its implementation. More studies on this topic are needed urgently.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Joachim, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwerd, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoelz, HannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sokollik, ChristianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Konrad, Lukas AlfonsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jordan, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lanzersdorfer, RolandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt-Choudhury, AnjonaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huenseler, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Adam, RuedigerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-686876
DOI: 10.1055/a-1801-0284
Journal or Publication Title: Z. Gastroent.
Volume: 60
Number: 6
Page Range: S. 963 - 970
Date: 2022
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-7803
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSPLANTATIONMultiple languages
Gastroenterology & HepatologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/68687

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