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JANUARY 23, 2020

The Microbiome and Its Role in Colorectal Health

Surgeons Speculate on How Emerging Evidence on the ‘Forgotten Organ’ May Affect Clinical Practice

By Christina Frangou

For Heidi Nelson, MD, a colorectal surgeon at Mayo Clinic in Rochester, Minn., the clinical course of two different patients became two unsolved mysteries that weighed on her mind for years.

The first patient, a 54-year-old man with recurrent cecal polyps, came in annually for a colonoscopy and polypectomy. He had recurring polyps, even though he followed dietary guidelines. He asked Dr. Nelson, “How can I prevent these from coming back?”

She didn’t have an