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Biomedical subjects

P Peter

Publications and source records attributed to P Peter.

At least 55 records · Page 3Linked to original sources

[Diagnosis of chronic pancreatitis].

The fact that a large number of pancreatic explorations have been proposed shows that now are really satisfactory. Generally speaking, it is true that instrumental techniques are relatively affirmative, whereas less aggressive methods are more uncertain. It is shown that a proper association of simple tests offers the general practitioner a 75% certainty of diagnosing pancreatic disease. Scintiscanning, zonography, angiography and retrograde pancreatography have been proposed in recent years, but they are complicated and demand considerable experience. In combination, they permit certain diagnosis in about 95% of cases. An experimenter may specialise in one or several of these techniques. Diagnosis of pancreatic disease is beyond the capacity of the general practitioner and requires the cooperation of several specialists, or examination at a large medical centre.

Angiography↗

[Oesophageal function in patiensts with angina (author's transl)].

Oesophageal functions were measured in 18 patients with angina, 13 healthy volunteers and 29 age-matched patients with reflux disease. Acid clearance was as abnormal in angina patients (88 +/- 46 swallows) as in those with reflux disease (97 +/- 45). The pressure in the lower oesophageal sphincter was low in patients with angina (13 +/- 8 mm Hg). The incidence of hiatal hernia, subjective symptoms during acidification of the oesophagus and results of the reflux provocation test were similar in patients with angina pectoris and healthy controls.

Adult↗

Esophageal function in progressive systemic sclerosis.

A prospective study was performed in 13 consecutive patients with systemic progressive sclerosis (PSS). For the diagnosis of impaired esophageal peristalsis cineradiography and manometry are equally useful. Esophageal suction biopsy allows the diagnosis of esophagitis but not of scleroderma. Mild to severe esophageal involvement was observed in 12 patients. In only one patient the esophagus was virtually normal. Dysfunction of the esophageal body may occur early in the course of the disease while incompetence of the lower esophageal sphincter is observed on an average after 7 to 8 years. Both impairment of peristalsis and pressure of the lower esophageal sphincter may lead to delayed esophageal clearance. Relaxation of LES is normal even in the absence of primary peristalsis. Extensive esophageal damage including severe gastroesophageal reflux may be present in the absence of esophageal symptoms.

Adult↗

[Endoscopic diagnosis of acute perianal hemorrhage].

Emergency upper endoscopy was performed in 22 consecutive patients with acute peranal hemorrhage. In 8 patients with negative upper endoscopy emergency coloscopy was subsequently performed. In 6 cases the bleeding source was located in the colon. Overall, the correct diagnosis was made by endoscopy in 21 of the 22 patients. Thus, emergency coloscopy is a useful diagnostic procedure in cases with acute peranal hemorrhage and negative upper endoscopy.

Aged↗

[Diagnosis and differential diagnosis of chronic pancreatitis (author's transl)].

The large number of pancreas tests recommended today shows that no single method is satisfactory. In general, the rule holds that invasive methods are relatively conclusive and non-invasive are unreliable. In this report it is shown that by a rational combination of simple tests, a reliable procedure for pancreatic diagnosis in about 75% of cases is possible for the general practitioner. The methods described in recent years, such as scintigraphy, ultrasonography, angiography and retrograde pancreaticography are complicated and require great experience. In combination, they raise the accuracy to about 95%. Individual investigators can specialize in only one or a few of these methods. Diagnosis of pancreatic conditions which exceed the facilities of the doctor in practice is only possible in large centers or through co-operation of several specialists.

Angiography↗