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4 results on '"Hasitha Srimal Wijewantha"'

1. Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study

Author

Hasitha Srimal Wijewantha, Arjuna Priyadarsin de Silva, Madunil Anuk Niriella, Nethini Wijesinghe, Prabahvi Waraketiya, Ravindu Sujeewa Kumarasena, Anuradha Supun Dassanayake, Janaki de Silva Hewawisenthi, and Hithanadura Janaka de Silva

Subjects
Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Introduction. Available evidence for routine terminal ileoscopy during colonoscopy is equivocal. We investigated the place of routine terminal ileoscopy and biopsy during colonoscopy, in a tropical setting. Materials and Methods. All consenting adults undergoing colonoscopy had routine TI and biopsy. Patients with right iliac fossa (RIF) pain, diarrhoea, anaemia, suspected inflammatory bowel disease (IBD), and raised inflammatory markers were defined as Group A and all others undergoing colonoscopy as Group B. Results. Caecal intubation and TI were achieved in 988/1096 (90.15%) and 832/1096 (75.9%) cases, respectively. 764/832(91.8%) patients were included in final analysis. 81/764 (10.6%) patients had either macroscopic (34/81) or microscopic (47/81) abnormalities of terminal ileum; 20/81 had both. These were CD (28/47), tuberculosis (TB) (6/47), ileitis due to resolving infection (8/47), and drug-induced ileitis (5/47). 27/81 with macroscopically normal ileum had CD (18/27), ileitis due to resolving infection (5/27) and drug-induced ileitis (4/27) on histology. 12/764 (1.57%) patients with macroscopically normal colon had ileal CD (8/12), drug-induced ileitis (2/12), and resolving ileal infection (2/12) on histology. 47/764 (6.15%) patients had ileal pathology that influenced subsequent management. These were significantly higher in Group A (43/555 (8%)) than in Group B (4/209 (1.9%)) (P=0.0048, χ2=7.968). Conclusion. TI and biopsy improve diagnostic yield of colonoscopy in patients with RIF pain, diarrhoea, anaemia, suspected IBD, and raised inflammatory markers.

Published
2014
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2. Diet and inflammatory bowel disease: The Asian Working Group guidelines

Author

Sudhir Gupta, Banchha Nidhi Behera, Byong Duk Ye, Arshdeep Singh, Sheela Krishnaswamy, Sawan Bopana, Ritu Sudhakar, Meenakshi Bajaj, Shobna Bhatia, SP Singh, Shilpa Joshi, Vineet Ahuja, Devendra Desai, Ramit Mahajan, Ghulam Nabi Yattoo, Sumit Bhatia, Manoj Kumar Sahu, Sandeep Nijhawan, Neelanjana Singh, Jayanthi Venkataraman, Murdani Abdullah, Varun Mehta, Saroj K. Sinha, Rakesh K. Tandon, Hasitha Srimal Wijewantha, K. T. Shenoy, Ajay Kumar, Ganesh Pai, Babu Ram Thapa, B. V. Tantry, Deepak Bansal, Manisha Dwivedi, Govind K. Makharia, Amarender Singh Puri, Saurabh Kedia, Namrata Singh, B Goswami, Uday C Ghoshal, Vandana Midha, Philip Abraham, S. P. Misra, Ajit Sood, and Rajiv Khosla

Subjects
medicine.medical_specialty, Asia, Consensus, Clinical nutrition, Guidelines, Inflammatory bowel disease, 03 medical and health sciences, 0302 clinical medicine, Dietary practices, Internal medicine, medicine, Humans, Postoperative Period, Medical nutrition therapy, Intensive care medicine, Pregnancy, business.industry, Incidence (epidemiology), Malnutrition, Gastroenterology, Hepatology, Inflammatory Bowel Diseases, medicine.disease, Dietary Fats, digestive system diseases, Diet, Nutrition Assessment, 030220 oncology & carcinogenesis, Original Article, 030211 gastroenterology & hepatology, Dietary Proteins, Energy Intake, business, Nutritional rehabilitation
Abstract

IntroductionThese Asian Working Group guidelines on diet in inflammatory bowel disease (IBD) present a multidisciplinary focus on clinical nutrition in IBD in Asian countries.MethodologyThe guidelines are based on evidence from existing published literature; however, if objective data were lacking or inconclusive, expert opinion was considered. The conclusions and 38 recommendations have been subject to full peer review and a Delphi process in which uniformly positive responses (agree or strongly agree) were required.ResultsDiet has an important role in IBD pathogenesis, and an increase in the incidence of IBD in Asian countries has paralleled changes in the dietary patterns. The present consensus endeavors to address the following topics in relation to IBD: (i) role of diet in the pathogenesis; (ii) diet as a therapy; (iii) malnutrition and nutritional assessment of the patients; (iv) dietary recommendations; (v) nutritional rehabilitation; and (vi) nutrition in special situations like surgery, pregnancy, and lactation.ConclusionsAvailable objective data to guide nutritional support and primary nutritional therapy in IBD are presented as 38 recommendations.

Published
2019
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3. Second correction to: Diet and inflammatory bowel disease: The Asian Working Group guidelines

Author

Ajit Sood, Ghulam Nabi Yattoo, K. T. Shenoy, Ritu Sudhakar, Rajiv Khosla, Manoj Kumar Sahu, SP Singh, Sudhir Gupta, Sandeep Nijhawan, Sumit Bhatia, Shobna Bhatia, B Goswami, B. V. Tantry, Namrata Singh, Byong Duk Ye, Deepak Bansal, Manisha Dwivedi, Meenakshi Bajaj, Babu Ram Thapa, Vineet Ahuja, Jayanthi Venkataraman, S. P. Misra, Govind K. Makharia, Philip Abraham, Saurabh Kedia, Amarender Singh Puri, Arshdeep Singh, Varun Mehta, Rakesh K. Tandon, Uday C Ghoshal, Devendra Desai, Vandana Midha, Neelanjana Singh, Murdani Abdullah, Shilpa Joshi, Hasitha Srimal Wijewantha, Ajay Kumar, Sawan Bopana, Banchha Nidhi Behera, Saroj K. Sinha, Ganesh Pai, Ramit Mahajan, and Sheela Krishnaswamy

Subjects
medicine.medical_specialty, business.industry, Published Erratum, Gastroenterology, MEDLINE, Hepatology, medicine.disease, Inflammatory bowel disease, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Internal medicine, Family medicine, medicine, 030211 gastroenterology & hepatology, Product (category theory), business
Abstract

The recommendations 31 which recommend "VSL#3®", refer only to the product used in the cited literature and equivalent products independent from the present product labelings. This product is now known by the generic name "De Simone Formulation".

Published
2020
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4. Correction to: Diet and inflammatory bowel disease: The Asian Working Group guidelines

Author

Manoj Kumar Sahu, Sandeep Nijhawan, Namrata Singh, SP Singh, Byong Duk Ye, B. V. Tantry, Meenakshi Bajaj, Ajit Sood, Vineet Ahuja, Neelanjana Singh, Banchha Nidhi Behera, Sudhir Gupta, Ritu Sudhakar, Rajiv Khosla, Murdani Abdullah, Sawan Bopana, Varun Mehta, Rakesh K. Tandon, Deepak Bansal, Manisha Dwivedi, Sumit Bhatia, Shilpa Joshi, Uday C Ghoshal, Govind K. Makharia, Vandana Midha, S. P. Misra, Hasitha Srimal Wijewantha, Amarender Singh Puri, Ajay Kumar, Sheela Krishnaswamy, Devendra Desai, Arshdeep Singh, Babu Ram Thapa, Shobna Bhatia, Ghulam Nabi Yattoo, Ramit Mahajan, Jayanthi Venkataraman, Philip Abraham, Saroj K. Sinha, B Goswami, Ganesh Pai, K. T. Shenoy, and Saurabh Kedia

Subjects
medicine.medical_specialty, business.industry, Internal medicine, Gastroenterology, Correction, Medicine, business, medicine.disease, Inflammatory bowel disease
Published
2019
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