[Prognostic factors in acute mesenteric ischemia. Experience of 64 cases]. / Fattori prognostici nell'ischemia mesenterica acuta. Esperienza di 64 casi.

A retrospective study of 64 cases of acute mesenteric ischaemia is reported. The patients have been treated, during the past 12 years, at the Department of Surgery "Flaiani", Ospedale San Camillo de Lellis-Rome. In terms of favourable prognosis, the following factors have shown to be statistically significant: enteric resection carried out, thrombosis of superior mesenteric vein, preoperative normal BUN and WBC count. The diagnostic value of CPK-BB is emphasized as well as the prognostic significance of a prompt surgical treatment.

[Use of the duodenum in demolition surgery of the stomach. Reconversion gastroduodenostomy in post-resection syndromes following Billroth II operations]. / L'utilizzazione del duodeno nella chirurgia demolitiva dello stomaco. La gastro-duodenostomia di riconversione nelle sindromi post-resezione tipo Billroth II.

Stress is laid on the importance in digestive and absorptive physiology. The methods used for the re-insertion of the duodenum in the digestive circuit in the surgical correction of servious post-Billroth II syndromes are explained. Direct duodenal reconversion by means of the transformation of gastrojejunostomy into gastroduodenostomy is recommended in the light of results obtained in 25 cases of p.o.p.u., dumping syndrome, inflammation of the anastomosis, and ALS. It is suggested that jejunal interposition should be kept for cases in which the particular shortness of the gastric stump makes simple re-insertion of the duodenum into the stomach impracticable.

[The role of the duodenum in digestive function. II. Notes on physiopathology]. / Il ruolo del duodeno nella funzione digestiva. Nota II - Appunti di fisiopatologia

On the basis of the concepts presented in Note I, the effects of excluding the duodenum from the digestive circuit are examined. In practice, the effects are reflected in disturbances to intestinal canalization with consequent post-prandial syndromes, and to the digestion and absorption of foods (deficiency syndromes). Over and above histological, biological and biochemical findings, the severe pathology affecting the entire digestive function brought on by the elimination of the manifold, complex activities of the "duodenal laboratory" were confirmed clinically.

[Role of the duodenum in the digestive function. I. Notes on its physiology]. / Il ruolo del duodeno nella funzione digestiva. Nota I. Appunti di fisiologia

A full account is given of recent advances in knowledge of the physiology of the duodenum. Modern means of diagnosis have shown that this organ, far from having a secondary role in digestive performance, carries out fundamental activities. These are described and it is made clear that the duodenum, on its own account, is the organ of choice for the digestion and absorption of some important nutritive substances. In addition, its motor and, above all, endocrine activity serves to direct the functions of the stomach, the intestine, and the glands attached to the gastroenteric tract (pancreas and bile ducts).

[Intralobar pulmonary sequestration in lymphoid and vascular hamartia]. / Sequestrazione polmonare intralobare in quadro di amartia linfoide e vascolare

A case of intralobar pulmonary sequestration observed in a young women subjected to right lower lobectomy is described. Reference to the relevant literature is made in outlining the anatomical and clinical picture of this form. Emphasis is laid on certain particular features: rarity, congenital origin, difficulty of interpreting the clinical picture, the need for careful angiographic examination to ensure positive diagnosis, and the indispensability of surgical management.