Patients' view on fecal microbiota transplantation in disorders of gut-brain interaction: a survey-based study

Valeria Schindler1, Jonas Zeitz2, Amanda Bianca3

  • 1Division of Gastroenterology, University Hospital Zurich, Zurich, Switzerland - valeria.schindler@usz.ch.

Abstract

Insights

Fecal microbiota transplantation (FMT) shows potential for treating gut-brain interaction disorders (DGBI). Patient interest in FMT significantly increases after receiving information, highlighting the importance of patient education for future DGBI treatments.

Area of Science:

  • Gastroenterology and microbiome research.
  • Patient attitudes and treatment decision-making.

Background:

  • Fecal microbiota transplantation (FMT) is increasingly recognized, but its impact on gut-brain interaction disorders (DGBI) remains debated.
  • Understanding patient perspectives on FMT for DGBI is crucial.

Purpose of the Study:

  • To assess the current knowledge and attitudes of DGBI patients towards fecal microbiota transplantation (FMT).
  • To evaluate how patient decisions regarding FMT change after receiving information about the procedure.

Main Methods:

  • An anonymous survey was administered to DGBI patients before and after they read an informational sheet on FMT.
  • Data were collected prospectively across two periods: 2017-2018 and 2022-2023.

Main Results:

  • Out of 387 participants, 40% had prior awareness of FMT.
  • Informed patients showed a significant increase in willingness to undergo FMT (38% to 63%, P<0.001).
  • Treatment decisions were associated with DGBI type and disease severity, and remained stable between survey periods.

Conclusions:

  • DGBI patients exhibit substantial interest in FMT, particularly once educated about the process.
  • Patient education is vital for informed decision-making regarding FMT as a potential DGBI therapy.

Related Concept Videos

Gut-Brain Axis01:22

Gut-Brain Axis

The gut–brain axis is a bidirectional communication system that connects the gastrointestinal tract and the brain. This interaction is mediated through multiple pathways, including the vagus nerve, hormonal signals, immune responses, and chemical messengers produced by gut microbes.Microbial Contributions to Brain FunctionGut microbiota contributes significantly to brain function by producing neuroactive compounds. These include neuroactive compounds that influence neurotransmitters such...
122
Functions of the Gut Microbiota01:18

Functions of the Gut Microbiota

The gut microbiota includes trillions of microorganisms that colonize the human gastrointestinal tract, including bacteria, archaea, viruses, and fungi. This complex ecosystem plays a critical role in maintaining intestinal and systemic health. Most of these microbes inhabit the large intestine, establishing a relatively stable and diverse community that contributes to gut homeostasis through various metabolic, immunological, and protective mechanisms.Dominant bacterial phyla, such as...
90
What is Monogastric Digestion?01:50

What is Monogastric Digestion?

The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
79.6K
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
950
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
1.1K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
1.1K