Colonoscopy-assisted Fecal Microbiota Transplant for Outpatient Treatment of Recurrent or Refractory Clostridium Difficile Colitis; Long Term Follow-up of 58 Patients
Journal Title: Journal of Clinical Gastroenterology and Treatment - Year 2016, Vol 2, Issue 1
Abstract
Clostridium difficile infection (CDI) costs the national healthcare system billions of dollars annually, and is reaching epidemic proportions. The current study seeks to evaluate the efficacy and long term outcomes of outpatient colonoscopy-assisted fecal microbiota transplant (FMT) therapy in between 2011-2013 for recurrent or refractory CDI as part of a single center experience. Among 58 patients who underwent FMT and completed the telephone survey, 91.4% were disease free at the 3 month interval, 86.2% at the 6 and 12 month intervals, and 80.5% at the 18 month interval post FMT. Purpose: The current study seeks to evaluate the efficacy and long term outcomes of outpatient colonoscopy-assisted fecal microbiota transplant (FMT) therapy in between 2011-2013 for recurrent or refractory CDI as part of a single center experience.
Visceral and Cutaneous Sarcoma Kaposi in a Patient with Ulcerative Colitis: Case Report and Review of the Literature
Sarcoma Kaposi is rare and most commonly affects the skin. Herein, we present a patient with ulcerative colitis, who developed intestinal Kaposi's sarcoma only six months after being diagnosed with ulcerative colitis. Th...
Advances and Controversies in the Management of Locally Advanced Gastro-esophageal Adenocarcinoma
Esophageal adenocarcinoma (EAD) has been recently described as ‘the silent epidemic’ because of its rapidly rising incidence. Two-thirds of patients with esophageal adenocarcinoma present with locally advanced disease. I...
Profile of 151 Patients Undergoing Open Gastrostomy an a Cancer Hospital
The gastrostomy is a procedure that aims to ensure a feeding pathway for patients who are unable to maintain adequate long term oral intake. Currently there are described the classical open technique and minimally invasi...
Unusual Mixed Presentations of Multiple Jejunal Diverticulae with Small Bowel Obstruction and Perforation - Case Report
Jejunal diverticulae are a rare phenomenon that is usually asymptomatic but can present with chronic abdominal pain or as an acute abdomen when complicated by intestinal diverticulitis, obstruction, haemorrhage or perfor...
Validation of a Simple, Patient Directed, Symptom based Index for Intestinal Inflammation
Objective: Optimal management of the Inflammatory Bowel Diseases (IBD) aims for low levels of inflammation to reduce complication rates and disease burden. Scoring systems have been developed to monitor disease but most...