Evidence map›Paper›PMID 41945234›Full record

SynthesisAdvances in therapy2026

Comparative Effectiveness and Safety of Fecal Microbiota Transplantation in Ulcerative Colitis: An Updated Systematic Review and Meta-Analysis.

Bin Huang, Honglin An, Yiman Qiu, Tingting Ye, Yuqing Huang, Mingxuan Zheng, Dan Shi, Yanqing Su, Rong Wang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Advances in therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

9 authors.

Bin Huang *Academy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, People's Republic of China. 1196096001@qq.com.
Honglin An *Academy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, People's Republic of China.
Yiman Qiu *Academy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, People's Republic of China.
Tingting YeThe Affiliated People's Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350004, People's Republic of China.
Yuqing HuangAcademy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, People's Republic of China.
Mingxuan ZhengAcademy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, People's Republic of China.
Dan ShiFujian Maternity and Child Health Hospital, Fuzhou, Fujian, 350001, People's Republic of China.
Yanqing SuDepartment of Pharmacy, Xiamen Children's Hospital, Xiamen, 361006, Fujian, China. suyanqing910125@163.com.
Rong WangThe Affiliated People's Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350004, People's Republic of China. ronglittle2003@163.com.

Funding

Financial Project of Fujian Province X2024004Fujian Provincial Science and Technology Project in Traditional Chinese Medicine 2025QNGGA002National Natural Science Foundation of China 82204925National Natural Science Foundation of China 82474290Natural Science Foundation of Fujian Province, China 2024J01782Young Talent Supporting Program of the China Association of Chinese Medicine (CACM) CACM-2024-QNRC2-B39
6 · The paper itself

Abstract

introductionFecal microbiota transplantation (FMT) is a potential therapy for ulcerative colitis (UC). Evidence has expanded, but the impact of delivery route on efficacy and safety remains uncertain.

methodsWe systematically searched PubMed, Embase, Cochrane Library, Web of Science and China National Knowledge Infrastructure (CNKI) from inception to October 2025 for randomized controlled trials (RCTs) comparing donor-derived FMT with placebo/sham or autologous FMT in patients with UC. Primary outcomes were clinical and endoscopic remission at induction (8-12 weeks). Adverse events (AEs) were secondary. Random effect models generated risk ratios (RRs) with 95% CIs. Pre-specified subgroup analyses compared delivery routes (colonoscopy, rectal enema, combined colonoscopy + enema, nasoduodenal infusion, oral capsules).

resultsSixteen RCTs were included. Overall, FMT improved clinical remission (RR = 1.81, 95% CI: 1.41-2.31; I

conclusionsFMT improves induction-phase clinical and endoscopic remission in patients with UC without increasing AEs. Efficacy appears route-dependent, with colonoscopy + enema demonstrating the largest effect. Head-to-head trials optimizing route and dosing with longer follow-up are warranted.

Indexed as

Colitis, UlcerativeFecal Microbiota TransplantationColonoscopyEnemaHumansRandomized Controlled Trials as TopicRemission InductionTreatment OutcomeDelivery routeFecal microbiota transplantationMeta-analysisRandomized controlled trialUlcerative colitis

Identifiers

What OpenQuestion holds

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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.