Procedure
The procedure was explained, the risks and options discussed,
and informed consent was obtained. We performed our FMT
via colonoscopy. We used a modified endoscopic retrograde
cholangiopancreatography (ERCP) catheter to deliver
the fecal suspension. The colonoscope was advanced to the
cecum, or preferably to the terminal ileum, when possible. We
instilled about 400–500 cc of the suspension in the terminal ileum and cecum, then 50–60 cc aliquots every 10 cms
when withdrawing the colonoscope. The patients were given
2 tablets of diphenoxylate/atropine to slow the excretion
of the transplanted effluent. Antibiotics and proton pump
inhibitors were not resumed. Eleven of our procedures were
done through colonoscopy; we performed one other procedure
using
an
infusion
in
the
nasoduodenal
tube.
Biopsies
were
taken
when
thought necessary.