Successful Use of Fecal Microbiota Transplantation in Management of Nonobstructive Recurrent Cholangitis Following Total Pancreatectomy and Islet Autotransplant.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2024-10-11 eCollection Date: 2024-10-01 DOI:10.14309/crj.0000000000001527
Adam Scott, Alexander Khoruts, Martin L Freeman, Greg Beilman, Karthik Ramanathan, Melena D Bellin, Guru Trikudanathan
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引用次数: 0

Abstract

Alterations in the gut microbiome have been implicated in various pathologies. Fecal microbiota transplantation (FMT) has been offered as a novel treatment for conditions implicated in the disruption of the gut-microbiota axis. This case report details the successful treatment of recurrent nonobstructive cholangitis following a single FMT application in a patient who had previously undergone a hepatobiliary tract surgical diversion. Cholangitis was suspected secondary to reflux of an altered microbiome into the surgically reanastomosed biliary tract, and FMT was justified based on the history of recurrent Clostridioides difficile infections. This case supports the further evaluation of the utility of FMT as one potential treatment of post hepatobiliary surgical diversion cholangitis.

成功利用粪便微生物群移植治疗全胰腺切除术和胰岛自体移植后的非梗阻性复发性胆管炎
肠道微生物群的改变与多种病症有关。粪便微生物群移植(FMT)是一种新型疗法,可用于治疗与肠道微生物群轴紊乱有关的疾病。本病例报告详细介绍了一名曾接受过肝胆道手术转流的患者在一次粪便微生物群移植后成功治疗复发性非梗阻性胆管炎的案例。胆管炎被怀疑是继发于改变的微生物群反流入手术再吻合的胆道,而 FMT 是基于复发性艰难梭菌感染的病史。该病例支持进一步评估 FMT 作为治疗肝胆手术转流后胆管炎的一种潜在方法的实用性。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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