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  • Merde alors!

    Faecal transplants have occasionally been used to treat patients with C. difficile infections as a last resort, with a 75% success rate. Recent research on mice has shown great progress and it is now being used experimentally on humans to treat a range of other diseases where usual treatment has failed, such as clinical aggressiveness, diabetes (II), obesity, Crohn's disease, autism, attention disorders, colonic cancer, IBS etc.

    The procedure is that healthy persons whose medical history has shown traits opposed to the disease being targeted donate their stools. These are liquidised with sterile water in a blender and 1-1.5 l are filled into syringes. Meanwhile the patient is prepared by a series of enemas, purgatives etc. so that his alimentary canal is completely emptied and washed clean. A tube is inserted through his nose and ends up in his small intestine. The sh*tty solution is then slowly injected into the tube. The patient then has a meal. The research has shown that the intestinal microbotia are often largely contributory to the disease being treated and, by eliminating them and transplanting a different mix of microbotia, a cure is often possible.

    Last night, the Swiss TV ran a programme (in French) on the latest research in faecal transplants at http://www.rts.ch/emissions/36-9/449...ouvernent.html showing some disgusting things including the treatment of patients (WARNING: not for those easily disgusted). One patient mentioned that since receiving the treatment, his stools had a different smell! In most cases, there is no reversion to the old microbiota. Thank goodness we don't have smellovision!

    Apparently, our natural microbiota makeup is determined from the mother at birth and varies between babies from vaginal and caesarean birth and stabilises after a few years for life (unless transplanted, of course).
    Last edited by Brian Ellis; 24 January 2013, 09:50.
    Brian (the devil incarnate)

  • #2
    I've heard of fecal transfusions being done 'bum to bum' as a very successful treatment before (I may even have posted on here about it), but through the nose is a new one on me. I think I'd want to be asleep for that one.
    FT.

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    • #3
      I also read about it in a news paper. There it was argued that the main reason it works better than other treatments is that in other treatments, drugs are used to kill the bad bacteria, but they kill the good bacteria in the process. And as the good bacteria need time to grow back, the bad bacteria also get the same amount of time, not really allowing the patient to recover.
      The transplant immediately puts a large amount of good bacteria in the patient.

      IIRC, the transplant was considered earlier, but it took some time for medical science to accept it and trial it.
      pixar
      Dream as if you'll live forever. Live as if you'll die tomorrow. (James Dean)

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      • #4
        Nothing new here. Fecal bacteriotherapy, aka human probiotic infusion (HPI, has been done since the 1950's and it works. The original procedure was for the transplant to be performed by enema, colonoscopy or nasoduodenal tube, but in the last few years a capsule method using a dried culture has been tried. Usually one treatment is enough, but at times several may be necessary. There have even been papers that show an effect on diabetes in animals.

        Simple, cheap, and effective.
        Dr. Mordrid
        ----------------------------
        An elephant is a mouse built to government specifications.

        I carry a gun because I can't throw a rock 1,250 fps

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        • #5
          I agree that it is old for C. difficile infections, but is being used experimentally on selected patients for various other conditions when conventional treatments failed. The most interesting results were with cancer of the colon and caecum. It is now accepted routine for recalcitrant type II diabetes and non-endocrinal obesity. There was no mention of dry administration on the TV programme.

          As an off-shoot of the research, there is a hypothesis that autism may be due to intestinal flora picked up at birth from the mother. So far they have identified over 10,000 different bacterium species in human guts and no two persons have been found to have the same cocktail, not even identical twins. It is as unique as fingerprints.
          Brian (the devil incarnate)

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          • #6
            It is as unique as fingerprints.
            From: No shit, Sherlock!
            To: Shit, Sherlock!
            Join MURCs Distributed Computing effort for Rosetta@Home and help fight Alzheimers, Cancer, Mad Cow disease and rising oil prices.
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            • #7
              Brian

              "Dry administration" = Autologous Restoration of Gastrointestinal Flora (ARGF.) It just started coming into practice recently on this side of the pond, but IIRC it was first described in the UK.
              Last edited by Dr Mordrid; 26 January 2013, 07:03.
              Dr. Mordrid
              ----------------------------
              An elephant is a mouse built to government specifications.

              I carry a gun because I can't throw a rock 1,250 fps

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              • #8
                A highly appropriate acronym. I image most patients pronounce it perfectly when the idea is explained to them
                FT.

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                • #9
                  Originally posted by Fat Tone View Post
                  A highly appropriate acronym. I image most patients pronounce it perfectly when the idea is explained to them
                  BIG LOL
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