Publications by authors named "Priya Oka"

Background: The faecal immunochemical test (FIT) is an immunoassay used to detect human blood in the stool. The role of FIT as a screening tool for small bowel pathology remains unclear.

Objectives: This study aimed to investigate the role of FIT in predicting small bowel pathology in patients with iron deficiency anaemia (IDA).

View Article and Find Full Text PDF

Background: Small bowel capsule endoscopy (CE) and double-balloon enteroscopy (DBE) are recommended for the management of patients with nonresponsive or refractory coeliac disease (CD). However, there is a paucity of data regarding the clinical profiles and outcomes of patients undergoing these investigations.

Methods: We conducted a retrospective analysis of two databases of adult patients with CD who underwent CE and/or DBE between 2017 and 2022 at the National Centre for Refractory CD in England.

View Article and Find Full Text PDF

Background And Study Aims: Isolated small bowel Crohn's disease (SBCD) is reported to have a worse prognosis compared to other CD phenotypes. The aim of this study was to understand the correlation between Isolated SBCD and ileocolonic disease with blood and faecal biomarkers and also to identify differences in outcome and management between the two phenotypes.

Patients And Methods: Patients with ileocolonic or isolated small bowel Crohn's Disease (SBCD) were identified from an existing capsule endoscopy (CE) database.

View Article and Find Full Text PDF

Background: Narrow-band imaging (NBI) is a readily accessible imaging technique that enhances mucosal visualisation, allowing for a more accurate assessment of duodenal villi. However, its role in the diagnosis of coeliac disease (CD) in clinical practice remains limited.

Methods: We systematically searched several databases in June 2023 for studies evaluating the diagnostic accuracy of NBI for detecting duodenal villous atrophy (VA) in patients with suspected CD.

View Article and Find Full Text PDF

Introduction: With the global increase in life expectancy, there is an increase in gastrointestinal presentations in the elderly. Small bowel bleeding (SBB) is a cause of significant morbidity in the elderly requiring multiple hospital visits, investigations, and potentially expensive therapy.

Areas Covered: In this review, we will outline the different modalities which are used for the diagnosis and management of SBB.

View Article and Find Full Text PDF
Article Synopsis
  • - Capsule endoscopy, since its introduction in 2000, is a non-invasive and well-tolerated method for examining the gastrointestinal tract, especially the small bowel, without the need for sedation.
  • - This review covers both new and traditional diagnostic methods for GI examination, with a primary focus on the advancements and applications of capsule endoscopy for a comprehensive examination of the entire digestive system.
  • - Expert opinions highlight that capsule endoscopy is now a standard first-line investigation for the small bowel, and its effectiveness in evaluating the colon is being validated, while new technologies for assessing the upper GI tract are also in development.
View Article and Find Full Text PDF

Purpose Of Review: The diagnosis of small bowel lymphoma (SBL) can be challenging, as they are very rare and also have a varied presentation. In this review, we aim to provide a broad overview of the types of SBL and also about the various modalities used for their diagnosis. We also discuss the overview of treatment strategies for a gastroenterologist.

View Article and Find Full Text PDF

Background: Irritable bowel syndrome (IBS) is one of the most common functional bowel disorders, but community prevalence appears to vary widely between different countries. This variation might be due to the fact that previous cross-sectional surveys have neither applied uniform diagnostic criteria nor used identical methodology, rather than being due to true global variability. We aimed to determine the global prevalence of IBS.

View Article and Find Full Text PDF