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Biomedical subjects

R A Elmer

Publications and source records attributed to R A Elmer.

4 recordsLinked to original sources
PubMed1980

Antral mucosal diaphragms in infants and children.

The antral mucosal diaphragm in infants and children has been reported in the literature in 48 patients. We have encountered antral mucosal diaphragms in 6 children. Only 3 of these 6 patients required surgery. These 6 cases and a review of the published cases suggest that patients fall into two groups: the first group usually requires surgery because of recurrent clinical signs suggesting a partial gastric outlet obstruction. The second group have the diaphragm detected incidentally or have unimpressive clinical findings. This group can be followed without surgery. In all cases, the diagnosis is made by an upper gastrointestinal series, but the need for surgery was determined clinically.

Child↗
PubMed1979

Antral mucosal diaphragms in adults.

A group of 53 patients with the diagnosis of antral mucosal diaphragm is reported. In over 50% of the cases the diaphragm was considered an asymptomatic lesion. In addition, an autopsy study in 29 unselected cases is reported with demonstration of five antral mucosal diaphragms in different forms. On the basis of these findings, it is evident that the antral mucosal diaphragm in the adult is not an acquired lesion secondary to peptic ulcer disease, but may be congenital. In addition, techniques of radiologic evaluation of the diaphragm for significant narrowing of the central aperture using the compressed barium tablet, and for significant gastric outlet obstruction using the "barium burger" examination, are described.

Adult↗