[Gastric metastasis of melanoma (report of a clinical case)]. / Metastasi gastrica da melanoma (presentazione di un caso clinico).

The Authors report a case of gastric metastasis from melanoma of the skin, occurring 6 years after removal of the primary neoplasm. The metastasis, which was characterized by conspicuous alimentary tract haemorrhage, called for emergency surgery consisting in a total gastrectomy with oesophago-jejunal anastomosis according to Roux. The Authors then go on to review the literature on the subject, stressing the frequency of gastrointestinal metastases in skin melanomas with an incidence affecting up to 60% of cases in autopsy series. After examining the main clinical aspects, endoscopic appearances and r-ray findings, the Authors deal at some length with prognosis, pointing out that isolated metastases may constitute a surgical indication in view of the cases of fairly good long-term survival reported in the literature.

[Pancreas transplant today: review of the literature]. / Il trapianto di pancreas oggi: revisione della letteratura.

The authors, after analysing the world literature concerning the pancreatic transplantation, dwell in considering the problems involved in the indications and techniques of the transplantation itself. Among the several problems expecting an ultimate solution, the improvement of prophylaxis, diagnosis and treatment of rejection seems to heavily affect the future of this surgery.

[Treatment and prevention of postmastectomy lymphedema (our experience)]. / Il trattamento e la prevenzione del linfedema postmastectomia (nostra esperienza).

The authors consider the incidence of arm lymphedema after mastectomy. Considering the temporary results which come from surgical practices, either from excision operations or lymphovenous anastomosis, they stress out the importance of the prevention measures and of the physiotherapeutic treatment. This is essential to keep lasting as long as possible the results of the operation when it is necessary because of serious functional deficit. Two cases of Thompson's operation are shown.

[Surgical therapy of gastro-esophageal reflux (clinical contribution)]. / Terapia chirurgica del reflusso gastro-esofageo (contributo clinico).

The Authors, on the basis of 119 cases of gastroesophageal reflux, submitted to intervention at the Surgical Department of Verona from 1970 up to 1983, seize this opportunity for some remarks about the problem: in fact, its physiopathology is still discussed, and numerous were the surgical techniques suggested for its treatment. 56 patients, treated according to Nissen-Rossetti's technique, and 16, in whom the antireflux plastic operation was complemented by a selected proximal vagotomy with pyloroplastics, were remote-checked. The good results got till now mean the SPV + P can be usefully associated to the antireflux plastics for hiatal hernia.

[Bilemia: diagnosis and conservative treatment. Apropos of a case complicated by hepatic abscess]. / Bilemia: diagnosi e trattamento conservativo. A proposito di un caso complicato con ascesso epatico.

The authors report a case of bilemia of their own--with traumatic genesis--complicated by liver abscess, treated through outside biliary drainage and piloted transhepatic percutaneous drainages along the line of the echotomography and computerized axial tomography (T.A.C.). They report the treatment adopted, and emphasize the importance of the instrumental methods followed in the diagnostical and therapeutical approach of both diseases.

[2 cases of enterorrhagia caused by Meckel's diverticulum. Problems of diagnosis and therapy]. / Su due casi di enterorragia da diverticolo di meckel. Problemi di diagnosi e terapia.

The authors study two cases of enterorrhage due to Meckel's diverticulum. They particularly emphasize the importance of two instrumental inspections: enema and abdominal scintigraphy with 99mTcO4, in the diagnostics of this malformative pathology, and the treatment with H2-blocking substances with the purpose to stop hemorrhage, circumstantiate the diagnostic suspicion, and operate electively.

[Pancreatic fistulas: evaluation of medical treatment in 50 observed cases]. / Fistole pancreatiche: valutazione del trattamento medico in 50 casi osservati.

The authors, on the basis of their experience concerning the observation and treatment of 50 patients sucering from "pure" pancreatic fistula, appraise the results of the therapy adopted. From their experience it results the Total Parenteral Nutrition (TPN) is the choice protection in such patients. They report some encouraging preliminary results through the use of Somatostatin.