Increased experience with FMT may lead to simpler processes
that may make it more widely feasible. The most common current
source of the fecal material (family/household members), and
mode of delivery via colonoscopy may engender more intense
procedural costs and provider labor. Notably, the predominant use
of household/family members as donors leads to a one-time
donation after screening. If protocols to test and maintain a pool
of donors, bank fecal transplant materials and deliver the transplanted
material in a simple fashion such as a rectal enema are
documented to provide good efficacy and safety, some of the
institutional barriers to FMT could be reduced. Methods to freeze
and bank fecal material before FMT have been reported, with good
success rates [15]. Delivery of FMT via enema has also been reported,
again with success rates comparable to delivery via nasal
tube or colonoscopy [18].