Tianjin Medical Journal ›› 2025, Vol. 53 ›› Issue (11): 1121-1130.doi: 10.11958/20252240

• Suggestions and Consensus •     Next Articles

Tianjin expert consensus on the management of intestinal fecal microbiota transplantation (2025 edition)

Tianjin Digestive Quality Control Committee   

  • Received:2025-06-11 Revised:2025-08-04 Published:2025-11-15 Online:2025-11-19

Abstract:

Fecal microbiota transplantation (FMT) is a novel medical technology targeting gut microbiota for disease intervention. It offers innovative treatment strategies for various intestinal and extraintestinal refractory disorders, overcoming the therapeutic limitation of traditional therapies in certain diseases. Currently, FMT has established mature application systems in multiple regions of China, but its clinical practice within Tianjin area still needs to be standardized and managed. With the rapid advancement of FMT research, innovative strategies such as washed microbiota transplantation (WMT), donor-recipient precision matching and intelligent predictive assessment of efficacy have emerged, driving its in-depth development towards standardization and precision. Against this backdrop, in order to promote the application and development of FMT in this region, Tianjin Digestive Quality Control Committee organized experts to develop the “Tianjin Expert Consensus on the Management of Fecal Microbiota Transplantation” based on the 2022 and 2023 expert consensus standards and integrate the characteristics of regional medical practices. The consensus systematically addresses the management requirements for all aspects of FMT technology. It proposes 15 targeted recommendations from two dimensions: standardization of technical operations and innovative expansion of clinical applications. The goal is to provide scientific and standardized practical guidelines for promoting FMT diagnosis and treatment in Tianjin.

Key words: fecal microbiota transplantation, clinical practice, standardization, management, consensus

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