There's a GI at Cornell now who specializes in treating recurrent C. diff and he does administer FMT, but not as a first step. His name is Carl Crawford: http://www.weillcornell.org/cvcrawford/
My experience is a bit different because I didn't have a C. diff infection until after my colectomy, but I had it once, treated successfully with vancomycin, then I had a recurrence about
eight weeks later. That didn't respond to vancomycin so it was treated, again very successfully, with Dificid. Insurance covered everything, but Dificid is quite expensive (seems like just a few years ago it was vanco that we were calling "so expensive", sigh) so I needed a pre-authorization letter from my GI in order to fill the prescript
ion. Knock wood it's been a few months now and I'm OK.
FMT can be very effective against C. diff but people don't realize that FMT can have other lasting side effects. Many previously healthy patients develop IBS after "successful" FMT. I'm not saying it's not an amazing treatment -- it is, and it has saved many colons -- but if you can successfully treat your C. diff with a short course of antibiotics, I believe that is preferable. My GI is very progressive and I asked her if I should just go ahead and do FMT now rather than risk recurrences and she said definitely not yet, because of the potential longer lasting quality of life issues.
dx'ed UC pancolitis 5/12
past meds: asacol hd, VSL#3, apriso, rowasa, xifaxan, 6mp, cortifoam, pentasa, cimzia, canasa, butyrate, flagyl, cipro, prednisone, remicade, methotrexate, cholestyramine, cortenema
current meds: none!
step one: colectomy, end ileo 1/16/13
step two: j-pouch construction, loop ileo 5/1/13
step three: takedown 7/31/13