Long-term follow-up of colonoscopic fecal microbiota transplant for recurrent Clostridium difficile infection.

Objectives: Clostridium difficile infection (CDI) has increased to epidemic proportions over the past 15 years, and recurrence rates of 30-65% with failure to respond to multiple courses of antimicrobials are common. The aim of this study was to report the efficacy of fecal microbiota transplantation (FMT) in patients with recurrent CDI in five geographically disparate medical centers across the United States.

Methods: A multicenter long-term follow-up study was performed on the use of FMT for recurrent CDI.

The Oklahoma experience with Double Balloon Enteroscopy: first one hundred procedures.

Double Balloon Enteroscopy (DBE) is a new technique that allows deep intubation into the small bowel, and has therapeutic capabilities including cauterization, biopsy, and polypectomy, as with standard endoscopes. Its major value is in the diagnosis and treatment of mid-gut bleeding. We report our experience with the first 100 DBE procedures performed in Oklahoma.