"Would You Get Some Poop Transplant?" Ini ke -->
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Source: mprnews.org |
Maybe you won’t ever imagine this crazy
thing : taking
another person’s feces and shoving it up your bum. It doesn’t seem like a normal medical procedur. Fortunately
(or maybe not) but in reality, this form of defecation
sharing can save someone’s life. So drink some coffee, eat a bran muffin and
read on to find out all about poop transplants. Maybe you can use your morning stool for the good
of humanity.
It’s called Fecal Microbiota Transplantation
(FMT), the poop transplant isn’t as modern as you might think. You can trace
its path from 4th
century China where they used it for treating food poisoning and severe diarrhea. In
the 16th century, Li Shizhen the Chinese physician, used fresh, dried or fermented feces to treat some of abdominal diseases. He called it
“yellow soup”.
As time goes by, this procedure has gained prominence because of how well it treats the rapidly growing problem of Clostridium difficile infection (C diff.) The gold-standard of treatment used to be giving someone with the affliction oral antibiotics, specifically Vancomycin. Unfortunately, Vancomycin alone has a cure rate of only 23%-31%. FMT’s success rate in treating C diff. is 81% after the first administration and 94% after the second.
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Source: Cleveland.com |
How it can work that way actually? The human gastrointestinal tract is
home to a vast cornucopia of bacteria. It’s currently estimated that about 1014
bacterial cells reside in our bodies, compared to just 1013 human
cells. Imagine, there’s more bacteria inside our body than there is us!
Medical
science hasn’t yet identified all of the specific types of bacteria, or what
every ones’ particular role in the body is. What we do know is that every
person has between 15,000 and 36,000 different bacterial species flourishing
inside them, often in a symbiotic relationship.
The environment within our GI tract is a complex, yet balanced, system that helps
breakdown many of the nutrients we take in. The various microbes’ digestion of
nutrients helps with everything from developing our immune systems and
repressing the growth of harmful microorganisms, to breaking down
Oligosaccharides, the sugar molecules found in beans (and other fibers) that
give you gas.
When
some types of bacteria are missing from our
digestive system, and therefore their beneficial results, various diseases can
begin to present themselves- things like C diff., irritable bowel syndrome,
Crohn’s disease, and ulcerative colitis and more. The idea behind FMT is that, should someone have a
condition where they might be lacking in certain types of beneficial bacteria,
taking healthy poop from someone who does and putting it in their GI tract
might help by reestablishing the missing microbes. Those bacteria will then
(hopefully) grow and proliferate, so hopefully can cure the individual of their affliction.
The latest medical literature has shown there
has been a quick rise in GI problems around the world, particularly in
developed countries where antibiotics are frequently used. The global epidemic
of GI issues like C diff. has been long known to be a result of taking said
antibiotics. Dr. Maria Olivia-Hemker of John’s Hopkins Children Center states;
“Antibiotics are lifesavers, but anytime we give them to a patient to eradicate
one pathogen, there’s collateral damage, in that along with the bad bacteria we
wipe off some good organisms that help keep the complex workings of our gut in
perfect balance.” This basic
is also why many doctors advise taking probiotics after any antibiotic.
Some of bad bacteria that can propagate, should
it not be kept in check,
is the aforementioned Clostridium difficile. This dangerous microbe can cause symptoms like
watery diarrhea, fever, loss of appetite, nausea, and abdominal pain. The CDC
estimates C diff. affected about 500,000 Americans in 2011. Of those, about
29,000 of them died within 30 days of their initial diagnosis. The first randomized study on
treating C diff with FMT was published in Jan of 2013. As mentioned, it showed
an 81% resolution of C. diff. associated diarrhea after just the first
infusion. These amazing, life-saving results made the medical world take
notice.
They won’t let any medicine go without their reviewing it, three
months later in April, the FDA classified fecal transplants as both a biologic
material as well as a drug. In this case, a new investigational drug. As such,
it meant only doctors with an approved investigational drug application could
perform the transplant. As you can imagine, there was a crap-load (pun
intended) of physicians and patients that opposed this position, given the
relative safety of transplanting fecal matter from a healthy, non-diseased
individual, to another.
The
FDA almost immediately reversed their stance and in June of that year, stated
any qualified physician could perform the procedure if they got signed consent
forms from their patients, and they tested the donor stool.
While
it may seem asinine to classify poop as a “new investigational drug”, the FDA
does have a point. There hasn’t ever been a large-scale, controlled trial
showing any effect beyond restoring the diverse microbiota within the gut. Most
doctors will tell you there needs to be more research demonstrating exactly
what effects changing the complex make up of your bowels will have on overall
health.
In a short time, one follow-up study done by Dr. L.
Brandt and his colleagues showed that, while the 77 patients in the study had
no new C diff. infections, 4 of them presented with new disorders- peripheral
neuropathy, Sjögren’s disease, idiopathic thrombocytopenic purpura, and
rheumatoid arthritis. In 2011, a 32 year old women, very oddly, suddenly became
obese after being treated with FMT.
These
disorders might seem like they have nothing to do with your feces, but given
there are so many bodily functions and disease processes that can be affected
by your gut bacte
ria, the findings only emphasizes the point- more research
should be done before we just start taking poop-pills like its candy.
On that same point, the lack of a healthy digestive environment
is linked to several types of illnesses, and as such FMT has been proposed as a
potential treatment for conditions like obesity, metabolic syndrome, diabetes,
multiple sclerosis, Parkinson’s, rheumatoid arthritis, Crohns disease, chronic fatigue syndrome, irritable bowel syndrome, and ulcerative colitis.
Do you think you might want help someone out and take a dump
in a petri dish during your next doctors’ visit? Don’t worry, there’s an
organization out there helping make it possible. Called OpenBiome, this non-profit stool bank aims to
make FMT easier, cheaper, safer and more widely available. They do this by
providing hospitals with screened, frozen material ready for clinical use.
They’re currently providing over 400 healthcare institutions around the United
States and Europe with this stuff.
There are more research and technological
advances will undoubtedly show doctors what exactly the countless species of
bacteria specifically do for our well-being and health. But now we knor
that good bacteria that form of people’s poop can save life. (Source: TodayIFoundOut)
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