{"id":10395,"date":"2021-07-28T16:22:39","date_gmt":"2021-07-28T07:22:39","guid":{"rendered":"https:\/\/symdfmtcopro.wpenginepowered.com\/post\/10395"},"modified":"2024-11-08T23:44:09","modified_gmt":"2024-11-08T14:44:09","slug":"ulcerative-colitis-male-in-his-60s-fecal-microflora-transplant-case-report","status":"publish","type":"post","link":"https:\/\/fmt-japan.org\/en\/post\/10395","title":{"rendered":"Ulcerative colitis, male in his 60s -Fecal microflora transplant case report"},"content":{"rendered":"\n

<\/span>Case presentation 60s male, ulcerative colitis<\/span><\/h2>\n\n\n\n

<\/span>summary<\/span><\/h3>\n\n\n\n

Intestinal flora transplantation performed for ulcerative colitis (rectal type), mild bleeding and diarrhea.
No significant change at 6 months after completion of 6 cycles. Endoscopy was unchanged.<\/p>\n\n\n\n

<\/span>Basic Information<\/span><\/h3>\n\n\n\n
Patients :<\/td>Male in his 60s<\/td><\/tr>
Attending physician :<\/td>Luke’s Ashiya Clinic<\/i><\/a><\/td><\/tr>
Medical institution in charge of transplantation :<\/td>Luke’s Ashiya Clinic<\/i><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/span>Information at the time of initial medical examination<\/span><\/h3>\n\n\n\n
Disease name :<\/td>ulcerative colitis<\/td><\/tr>
At onset :<\/td>2017<\/td><\/tr>
Transplant Purpose: To<\/td>Improvement of symptoms<\/td><\/tr>
Main symptoms :<\/td>2 YEARS AGO, SHE BEGAN TO HAVE DIARRHEA AND BLEEDING. DIAGNOSED AT CF. CURRENTLY, SHE HAS NORMAL STOOLS ABOUT 4 TIMES\/DAY WITH ORAL MEDICATION. NO BLEEDING.<\/td><\/tr>
Medications being taken :<\/td>COLONEL TABLETS, MYA BM TABLETS, BIOFERMIN COMBINATION SPRAY, ASACOL TABLETS<\/td><\/tr>
Medical history :<\/td>POLYPECTOMY: H29, NOVEMBER, GASTRIC ULCER<\/td><\/tr>
Background, family history, lifestyle, etc :<\/td>He wishes to have a transplant, partly on the recommendation of his daughter.
Father: ulcerative colitis, stroke, hypertension<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/span>Transplant Information<\/span><\/h3>\n\n\n\n
Transplantation period: from<\/td>March 13, 2019 – June 13, 2019<\/td><\/tr>
Number of transplants :<\/td>6 times<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Change from first transplant to end of transplant :<\/td><\/tr>
Improved bowel movements after transplant, but tends to have diarrhea after a while.
Fatigue for a while after transplant +
No change in symptoms at 6-month follow-up (lower blood loss, medication indispensable)

\u30101st transplantation questionnaire\u3011
She is busy working, but seems to be in good physical condition. He is working very busy, but seems to be in good physical condition. No abdominal symptoms such as moodiness or abdominal pain at the time of flora transplantation. Explained post-transplant precautions. No comprehension problems.

\u30102nd transplantation questionnaire\u3011
No change in bowel movements between normal and post-transplant. Physical condition is good.

\u30103rd transplantation questionnaire\u3011
No mood disorder. Intestinal peristalsis is good. No bleeding, pain, or abdominal symptoms during or after transplant.
No change after transplantation.

\u30104th transplantation questionnaire\u3011
The patient has a tendency to have solid stools, but after a while they become soft again.
She is as busy as ever. He is taking good care of his diet.

\u30105th transplantation questionnaire\u3011
The stools do not change significantly, and he has soft stools about 3 times a day.
She had no abdominal pain, but there was a small amount of blood in her stools on several occasions.
He said that he did not feel much change in his mental condition. Her appetite also did not seem to have changed.

\u30106th transplantation questionnaire\u3011
No particular change. She took medicine and had no bloody stools.

\u30106th transplantation follow-up\u3011
Not much change. When she stopped taking the medicine, she bled again.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Changes after completion of transplant :<\/td><\/tr>
Bleeding continues and internal medication is indispensable. Endoscopy (12\/2019) also showed inflammation in the rectum with no improvement.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/span>Evaluation and Discussion<\/span><\/h3>\n\n\n\n
Transplant Evaluation :<\/td>No change<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/span>Intestinal flora balance Comparative data<\/span><\/h3>\n\n\n\n
\"\"<\/figure>\n\n\n\n
His\/her experience (from the questionnaire) :<\/td><\/tr>
No answer<\/td><\/tr>
Adverse events: No<\/td><\/tr>
Yes (mild)<\/td><\/tr>
Transplant General Comments and Discussion :<\/td><\/tr>
No obvious effect was observed.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

… and upwards<\/p>\n\n\n\n

\n\n\n\n

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