[Role of total parenteral nutrition in the treatment of ulcerous colitis]. / Il ruolo della nutrizione parenterale totale nel trattamento della colite ulcerosa.

Reference is made to the literature and personal experience in an assessment of the rôle of total parenteral nutrition in ulcerative colitis. An estimate is made of the position of this form of treatment with respect to conventional medical and surgical management, and its influence on the natural course of the disease. The results observed in 6 patients treated in this way are reported and the treatment protocol employed for the management of ulcerative colitis in a surgical department is described.

[Adenomatous polyposis of the stomach associated with familial adenomatous polyposis of the colon]. / La poliposi adenomatosa dello stomaco associata alla poliposi adenomatosa familiare del colon.

A case of adenomatous polyposis of the stomach associated with familial polyposis of the colon is presented. The relevant literature is reviewed and the data thus collected (with the exception of definitely non-adenomatous, extracolic cases) are presented in tables, depending on whether familial polyposis of the colon or Gardner's syndrome was the accompanying form. A systematic account is given of the association and reference is made to simple polyposis of the stomach, and that of the duodenum. Close attention is paid to the question of diagnosis, the risk of cancerous transformation, and treatment. Stress is laid on the importance of optic fibre endoscopy in diagnosis and therapy (by means of the surgical fibroscope). Examination of the literature, it is felt, substantiates the need for: 1) routine systematic investigation of the digestive apparatus in all subjects with FPC and GS, and the report of even isolated cases to establish the true frequency of the association; 2) histological assessment of radically resected formations in the correct determination of both diagnosis and prognosis; 3) preventive and systematic endoscopic control as a means of investigation and postoperative surveillance; 4) correct strategy based on the nature, extent, number and size of the polyps and the polypogenetic capacity of the gastric mucosa.

[Traumatic lesions of the liver. Our experience of 12 years. Clinical statistics of 118 cases]. / Le lesioni traumatiche del fegato. Nostra esperienza di 12 anni. Statistica clinica di 118 casi.

118 cases of traumatic lesions of the liver have been reviewed. The patients were admitted to the First Aid and Emergency Surgery Division of Niguarda General Hospital between 1965 and 1976. The statistico-clinical data were elaborated in accordance with classical subdivisions of each disease form and compared and discussed, as far as possible, with similar data provided by the recent literature. Stress is laid on the increase in the number and gravity of cases in recent years, the prevalent localization of lesions in the right lobe, the importance of trauma pathogenesis for diagnostic and therapeutic purposes, and diagnostic difficulties. The importance of peritoneal probing and dialysis and of the examination for bile salts in the urine are underlined. As for treatment, the various surgical techniques are mentioned and discussed in relation to the characteristics of the traumatic lesion; the commonest technique was simple suture of the break in the liver parenchyma. Mortality was 33.05%. The cause of death in the 39 cases is mentioned.

[beta-cell pancreatic hyperplasia. Considerations on a clinical case]. / Iperplasia pancreatica beta-cellulare. Considerazioni su un caso clinico.

Differential haematological and instrumental examinations (OGTT, protracted fasting, i.v. tolbutamide, blood insulin, pancreatic scintiscanning, oesophagogastroduodenoscopy, panoramic abdominal arteriography, and selective arteriography of the coeliac trunk), preceded subtotal pancreasectomy in a severe case of hypoglycaemia attributable to organic hyperinsulinism. Epstein's method was used to extract insulin from the pancreatic tissue for radioimmunological assay.