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Fecal microbiota transplantation (FMT) as standardized by The Second Hospital of Nanjing Medical University is a microbiome-based therapy used to treat moderate to severe ulcerative colitis. This specific protocol, often referred to as the "Nanjing strategy" or "Washed Microbiota Transplantation" (WMT), involves the preparation of a purified bacterial suspension from healthy donor stool using an automated washing process to reduce pro-inflammatory metabolites and improve safety. The suspension is delivered to the patient's mid-gut via gastroscopy or to the colon. The therapy aims to restore a healthy gut microbial ecosystem, thereby inducing clinical remission and mucosal healing by modulating the host's immune response and intestinal barrier function.
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