2015
DOI: 10.1093/ofid/ofv004
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Weight Gain After Fecal Microbiota Transplantation

Abstract: Fecal microbiota transplantation (FMT) is a promising treatment for recurrent Clostridium difficile infection. We report a case of a woman successfully treated with FMT who developed new-onset obesity after receiving stool from a healthy but overweight donor. This case may stimulate further studies on the mechanisms of the nutritional-neural-microbiota axis and reports of outcomes in patients who have used nonideal donors for FMT.

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Cited by 359 publications
(248 citation statements)
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“…In two isolated incidences, pronounced weight gain and the development of IBS-like symptoms following FMTs were reported. 24 , 25 In an extensive case series, 31 patients had received feces from a donor who later developed Crohn's disease. 26 Fortunately, none of the patients developed clinical sequelae nor microbial signatures of inflammatory bowel disease (IBD).…”
Section: Discussionmentioning
confidence: 99%
“…In two isolated incidences, pronounced weight gain and the development of IBS-like symptoms following FMTs were reported. 24 , 25 In an extensive case series, 31 patients had received feces from a donor who later developed Crohn's disease. 26 Fortunately, none of the patients developed clinical sequelae nor microbial signatures of inflammatory bowel disease (IBD).…”
Section: Discussionmentioning
confidence: 99%
“…As shown in animal models, FMT may have the potential to transfer a pathogenic disease state from donor to recipient (55), which may be more significant in the developing Review microbiome (56). Moreover, in adults, the development of autoimmune disease and rapid weight gain has been reported after FMT (57,58). Therefore, the question is raised whether transfer of an adult microbiome to a developing microbiome in a child may predispose to quickening of immune aging and development of immune related complications (59).…”
Section: Special Considerations Precautions and Future Directions Fmentioning
confidence: 99%
“…Fresh faecal matter is preferably obtained from relatives of the patients immediately before transplantation. A careful donor screening regarding faecal microbiota composition, pathogen status and undesirable antigens and ‘phenotypes’ must be performed preventively (Petrof and Khoruts, 2014; Alang and Kelly, 2015). Despite the increasing demand for FMT, rigorous exclusion criteria for donors strongly limit the widespread availability of suitable faecal material (Konig et al ., 2017).…”
Section: Introductionmentioning
confidence: 99%