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Biomedical subjects

R H Salter

Publications and source records attributed to R H Salter.

At least 19 recordsLinked to original sources
PubMed1991

Deceptive dysphagia.

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Carcinoma, Squamous Cell↗
PubMed1989

Gastroenterology: the first 40 years.

Functional gastroenterological disorders were diagnosed in over 50 per cent of patients aged 40 years and under, referred to a district general hospital combined gastroenterology clinic. Peptic ulceration, gastro-oesophageal reflux, biliary tract disease and inflammatory bowel disease accounted for almost 70 per cent of the organic disorders encountered. Malignant disease was rare. The implications for diagnostic investigation in this age group are discussed.

Adult↗
PubMed1988

Surgical aspects of a district hospital combined gastroenterology clinic.

The surgical aspects of 12 years' involvement with a combined consultative gastroenterology clinic at a district general hospital are reviewed. In this time the overall number of patients subjected to surgery has gradually fallen and the average age of patient referral has gradually increased and the logistical implications are considered. Trends for the common diagnoses encountered are discussed and the educational benefit of the clinic is stressed.

Adolescent↗
PubMed1988

Contribution of the elderly to a district hospital combined gastroenterology clinic.

The contribution of the elderly to the workload of a combined consultative District Hospital Gastroenterology Clinic has been studied over a 12-year period. The elderly group comprise 24% of the total referrals with a gradually increasing trend over successive years. The service implications are discussed and the main diagnostic categories reviewed. Particular attention is drawn to the low incidence of functional gastroenterological disorders in the elderly and the corollary that there is a high chance of an organic explanation for the presenting complaints.

Adolescent↗
PubMed1987

A negative double-contrast barium meal--qualified reassurance.

Four hundred and forty-one consecutive patients referred for endoscopy after a negative double-contrast barium meal were studied to determine the reliability of good quality radiology in excluding significant upper gastrointestinal pathology. Endoscopic abnormalities were detected in 23 patients (5.2%), nine of which were reporting errors. Duodenal ulcer was the commonest lesion missed radiologically, 50% of these patients either having a history of overt upper gastrointestinal bleeding, a family history or impressive symptomatic relief with H2-receptor antagonists. The three patients with radiologically undetected gastric cancer presented with classical symptoms; the radiological demonstration of gastric mucosal atrophy in this clinical context should alert the referring clinician to initiate urgent endoscopy.

Barium Sulfate↗
PubMed1978

Bridging the gap.

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Faculty, Medical↗
PubMed1978

Endoscopic and radiological assessment of recurrent ulceration after peptic ulcer surgery.

One hundred and eighteen patients with dyspepsia after peptic ulcer surgery were assessed by a double contrast barium meal and fibre-optic endoscopy, for the possibility of recurrent ulceration. There was overall endoscopic-radiological agreement in 89%. It is concluded that the two techniques are complementary and that a double contrast barium meal performed and interpreted by an experienced radiologist can demonstrate the presence or absence of a recurrent peptic ulcer with an acceptable degree of accuracy.

Gastroscopy↗
PubMed1977

Jubilee bandwagons.

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Education, Medical, Graduate↗
PubMed1975

Upper-gastrointestinal endoscopy in perspective.

Three and a half years' experience of an upper-gastrointestinal endoscopy service in a district general hospital is reviewed. It is concluded that the necessity for this investigation is considerably reduced when a positive contribution towards patient management is the main criterion for its use, when there is effective interdisciplinary cooperation, and when a double-contrast barium-meal technique is routinely employed.

Barium Sulfate↗
PubMed1975

Patient-orientated gastroenterology.

Analysis of the first year's working of a combined gastroenterology clinic in a district hospital has shown that the major benefit was improved patient management. Hospital attendances were reduced, the diagnostic process accelerated, and unnecessary radiological investigations and surgical operations avoided. There were no obvious major disadvantages.

Appointments and Schedules↗
PubMed1975

Common gastroenterological problems. II.--Sliding hiatus hernia.

A sliding hiatus hernia is a common radiological finding and is not always relevant to the patient's symptoms. The possibility of an alternative explantation for the complaint of retrosternal pain or dyspepsia should always be considered, and when anaemia is present the site of occult blood loss is often lower in the gastrointestinal tract. The majority of patient's with symptomatic gastro-oesophageal reflux can be controlled with medical measures. Surgical intervention in cases of uncomplicated hiatus hernia should be recommended only after careful preoperative assessment and even then a satisfactory result cannot be absolutely guaranteed.

Antacids↗