Ok, so if I am reading this article correctly (I sure hope somebody who has some microbiology training never reads this cause they will probably laugh their socks off) these really, really smart guys at Children's Hospital in Boston used DNA sequencing to identify classes of microbes in poop. They figured out which microbes were there (microbial classes), how much there was of the different kinds of microbes, how those two things changed with disease status, etc. and confirmed their results with an independent blind testing of a separate cohort of kids.
This is really cool stuff and sounds like it could be the Holy Grail for non-invasive testing. Goes waaaaay beyond the information you can get from fecal calprotectin testing.
Their work is based on previous work by someone else (FRank) that did a similar thing with tissue samples. The results from poop were very, very similar to the results they got using tissues.
SLiME (actually a very complex set of algorithms used to assess DNA sequencing results) was reliably able to distinguish:
1. Active vs. remission status in both CD and UC patients
2. Severity of disease activity
3. IBD vs Non-IBD kids
4. UC vs. CD
5. validates the effect of antiobiotics on gut microbes (kills em which is what happens when there's a severe disease flare, DUH)
This is definitely on my agenda for our next Ped GI visit.