Evidence map›Paper›PMID 38313244›Full record

ReviewWorld journal of hepatology2024

Role of fecal microbiota transplant in management of hepatic encephalopathy: Current trends and future directions.

Yash R Shah, Hassam Ali, Angad Tiwari, David Guevara-Lazo, Natalia Nombera-Aznaran, Bhanu Siva Mohan Pinnam, Manesh Kumar Gangwani, Harishankar Gopakumar, Amir H Sohail, SriLakshmiDevi Kanumilli and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in World journal of hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. A Review of Recent Advances in Fecal Microbiota Transplantation for the Treatment of Hepatic Encephalopathy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Yash R ShahDepartment of Internal Medicine, Trinity Health Oakland/Wayne State University, Pontiac, MI 48341, United States.
Hassam AliDivision of Gastroenterology and Hepatology, East Carolina University/Brody School of Medicine, Greenville, NC 27858, United States.
Angad TiwariDepartment of Internal Medicine, Maharani Laxmi Bai Medical College, Jhansi 284001, India.
David Guevara-LazoFaculty of Medicine, Universidad Peruana Cayetano Heredia, Lima 15102, Peru.
Natalia Nombera-AznaranFaculty of Medicine, Universidad Peruana Cayetano Heredia, Lima 15102, Peru.
Bhanu Siva Mohan PinnamDepartment of Internal Medicine, John H. Stroger Hospital of Cook County, Chicago, IL 60612, United States.
Manesh Kumar GangwaniDepartment of Internal Medicine, The University of Toledo, Toledo, OH 43606, United States.
Harishankar GopakumarDepartment of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, Peoria, IL 61605, United States.
Amir H SohailDepartment of Surgery, University of New Mexico, Albuquerque, NM 87106, United States.
SriLakshmiDevi KanumilliDepartment of Internal Medicine, GSL Medical College, Rajamahendravaram 533296, India.
Ernesto Calderon-MartinezDepartment of Internal Medicine, Universidad Nacional Autonoma de Mexico, Ciudad De Mexico 04510, Mexico.
Geetha KrishnamoorthyDepartment of Internal Medicine, Trinity Health Oakland/Wayne State University, Pontiac, MI 48341, United States.
Nimish ThakralDepartment of Digestive Diseases and Nutrition, University of Kentucky, Lexington, KY 40536, United States.
Dushyant Singh DahiyaDivision of Gastroenterology, Hepatology & Motility, The University of Kansas School of Medicine, Kansas City, KS 66160, United States. dush.dahiya@gmail.com.
Universidad Peruana Cayetano Heredia · PEMaharani Laxmi Bai Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fecal microbiota transplantation (FMT) offers a potential treatment avenue for hepatic encephalopathy (HE) by leveraging beneficial bacterial displacement to restore a balanced gut microbiome. The prevalence of HE varies with liver disease severity and comorbidities. HE pathogenesis involves ammonia toxicity, gut-brain communication disruption, and inflammation. FMT aims to restore gut microbiota balance, addressing these factors. FMT's efficacy has been explored in various conditions, including HE. Studies suggest that FMT can modulate gut microbiota, reduce ammonia levels, and alleviate inflammation. FMT has shown promise in alcohol-associated, hepatitis B and C-associated, and non-alcoholic fatty liver disease. Benefits include improved liver function, cognitive function, and the slowing of disease progression. However, larger, controlled studies are needed to validate its effectiveness in these contexts. Studies have shown cognitive improvements through FMT, with potential benefits in cirrhotic patients. Notably, trials have demonstrated reduced serious adverse events and cognitive enhancements in FMT arms compared to the standard of care. Although evidence is promising, challenges remain: Limited patient numbers, varied dosages, administration routes, and donor profiles. Further large-scale, controlled trials are essential to establish standardized guidelines and ensure FMT's clinical applications and efficacy. While FMT holds potential for HE management, ongoing research is needed to address these challenges, optimize protocols, and expand its availability as a therapeutic option for diverse hepatic conditions.

Indexed as

Chronic liver diseaseCognitive impairmentFecal microbiota transplantHepatic encephalopathyLiver cirrhosis

Identifiers

PMID38313244
PMCPMC10835490
OpenAlexW4391121612

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.