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Fecal microbiota transplantation (FMT) as developed and studied at St Vincent's Hospital Melbourne is an investigational microbial therapy for active Crohn's disease. The protocol involves a 'clearing' phase using a two-week course of oral antibiotics (typically metronidazole and ciprofloxacin) and dietary modifications to prepare the gut environment. This is followed by the administration of a diverse consortium of live bacteria from healthy donor stool, initially delivered via colonoscopy and subsequently through weekly rectal enemas for a maintenance period. The therapeutic rationale is to correct the intestinal dysbiosis characteristic of Crohn's disease, thereby inducing clinical and endoscopic remission by restoring a homeostatic microbial-immune interface and displacing pro-inflammatory pathogenic bacteria.
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