SMM-CAPABLE Study Summary
Stool Metabolome and Microbiome in Women with Fecal Incontinence in CAPABLe
The cause of accidental bowel leakage, also known as fecal incontinence, is not
well understood. Bowel health relies on many factors including the bacteria that
are present. The stool microbiome refers to bacteria that are present in stool.
The stool metabolome refers to the chemicals (or metabolites) that these bacteria
produce in stool. The bacteria that live in the stool or the chemicals that they
produce may play a role in causing bowel leakage, or may be related to a person’s
response to treatment for bowel leakage.
This study will investigate if in the stool microbiome and stool metabolome in women
who experience bothersome bowel leakage is different from those in women who do
not report this problem. We will also investigate if the amount of certain bacteria
in the stool contributes to accidental bowel leakage or impacts the effectiveness
of treatment.
For the SMM-CAPABLe study, we are collecting stool samples from women with accidental
bowel leakage who are participating in the CAPABLe trial. We will also collect stool specimens from volunteer women who do not have accidental
bowel leakage so that we can compare their stool metabolites and the ratios of their
bacteria.
Women will contribute two stool samples six months apart. Recruitment began in December
2014. Results are expected in the spring of 2017.
STUDY RESULTS:
Arya LA. Rationale for Investigating Stool Metabolites and Microbiota in Women With Fecal Incontinence. Diseases of the colon and rectum. 2017 Feb; 60(2): 249-252.
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Arya LA, Richter HE, Jelovsek E, Gantz M, Cichowski S, Zyczynski H, Dyer K, Siddiqui N, Carberry C, Broeckling C, Morrow C, Kashyap P, Meikle S. Metabolites and microbial composition of stool of women with fecal incontinence: Study design and methods. Neurourology and urodynamics. 2018 02; 37(2): 634-641.
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