Publications by authors named "Akhilesh Swaminathan"

Background: Inflammatory bowel disease (IBD) is a relapsing-remitting illness requiring proactive monitoring of gut inflammation. We aimed to determine the correlations of plasma myeloperoxidase (pMPO) and calprotectin (pCal), two neutrophil proteins, with existing measures of disease activity.

Methods: Adults with IBD undergoing ileocolonoscopy were recruited prospectively.

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Background: Concentrations of the neutrophil protein myeloperoxidase are elevated in the feces of individuals with endoscopically active inflammatory bowel disease (IBD). Its enzyme activity could give an immediate readout of endoscopic inflammation. We investigated whether fecal myeloperoxidase activity (fMPOa) is associated with IBD endoscopic inflammation.

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Background: Crohn's disease (CD) is a major form of inflammatory bowel disease (IBD) which has relapsing and remitting symptoms. Better ways to detect and monitor active disease are required for early diagnosis and optimal outcomes. We assessed fecal myeloperoxidase (fMPO), a neutrophil-derived enzyme that produces hypochlorous acid, as a marker of disease activity in children with CD.

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In this editorial we comment on the article by Pacheco published in a recent issue of the . We focus specifically on the burden of illness associated with perianal fistulizing Crohn's disease (PFCD) and the diagnostic and therapeutic challenges in the management of this condition. Evolving evidence has shifted the diagnostic framework for PFCD from anatomical classification systems, to one that is more nuanced and patient-focused to drive ongoing decision making.

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Article Synopsis
  • Eosinophilic oesophagitis (EoE) is an immune-related disorder that causes swallowing difficulties and negatively impacts quality of life (QoL), particularly in New Zealand, where this study aimed to evaluate QoL in affected patients.
  • Researchers gathered data from hospital records and an electronic survey completed by participants, measuring dysphagia and specific QoL related to EoE through established questionnaires.
  • The findings revealed a decreased QoL in EoE patients, a correlation between disease activity and QoL scores, and indicated that current treatment may be inadequate, highlighting the need for better management strategies.
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Article Synopsis
  • Inflammatory bowel disease (IBD) presents a complex challenge in predicting prognosis due to its varied disease course and the need for comprehensive assessment beyond just current symptoms.
  • This review utilizes Medline to explore patterns in disease severity, incorporating factors like genetic profiles, quality of life, and clinical histories to better understand the illness's impact on patients.
  • Findings emphasize that IBD severity should account for a combination of inflammatory levels, past complications, and patient-reported outcomes to provide a fuller picture of the disease over time.
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Introduction: The disease severity index (DSI) encapsulates the inflammatory bowel disease (IBD) burden but requires endoscopic investigations. This study developed a non-invasive DSI using faecal calprotectin (DSI-fCal) and faecal myeloperoxidase (DSI-fMPO) instead of colonoscopy.

Methods: Adults with IBD were recruited prospectively.

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Background: The disease severity index (DSI) for inflammatory bowel disease (IBD) combines measures of disease phenotype, inflammatory activity, and patient-reported outcomes. We aimed to validate the DSI and assess its utility in predicting a complicated IBD course.

Methods: A multicenter cohort of adults with IBD was recruited.

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Background: Increased disease activity may be a risk factor for sexual dysfunction (SD) in patients with inflammatory bowel disease (IBD). This study investigated associations between objective measures of disease activity and sexual function.

Methods: Adults with IBD undergoing ileocolonoscopy were prospectively recruited.

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Background And Aims: Inflammatory bowel disease [IBD], consisting of Crohn's disease [CD] and ulcerative colitis [UC], is a relapsing-remitting illness. Treat-to-target IBD management strategies require monitoring of gastrointestinal inflammation. This study aimed to investigate faecal myeloperoxidase [fMPO], a neutrophil granule enzyme, as a biomarker of IBD activity.

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Background: The Disease Severity Index (DSI) is a novel tool to predict disease severity in inflammatory bowel disease (IBD). However, its ability to predict disease complications and the presence of psychosocial comorbidity is unclear.

Aims: To assess prospectively associations between the DSI and psychological symptoms, quality-of-life (QoL) and disease outcomes in an IBD cohort.

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Background: Disease activity may be a risk factor for psychological illness in patients with inflammatory bowel disease (IBD).

Aim: To correlate objective measures of disease activity with psychological symptoms.

Methods: Adult patients with IBD undergoing ileocolonoscopy were prospectively recruited.

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Background And Aims: Inflammatory bowel disease (IBD) has a major impact on psychological well-being. How an individual copes with IBD determines quality of life. We aimed to develop a brief, IBD-specific questionnaire to assess coping strategies (IBD-Cope) and to determine its test-retest reliability and validity.

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Background: There is general agreement that the lower limit for postprandial venous plasma glucose is the same or higher than for a fasted sample. The finding of a postprandial fall in glucose would therefore have implications for assignment of the lower limit of the normal glucose range.

Methods: An antecubital venous sample was collected before and one hour after breakfast.

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Background: There is a negative glucose gradient between the capillary and venous systems, produced by glucose uptake into peripheral tissues. This gradient is augmented by oral glucose ingestion in healthy volunteers; thus prandial status may impact on capillary glucose meter performance. Our primary aim was to investigate whether the (capillary-venous plasma) glucose difference changed in relation to prandial status, in healthy volunteers.

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