The Munich Polypectomy Study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies.

Background And Study Aims: Screening colonoscopy with polypectomy has been shown to reduce the morbidity and mortality associated with colorectal cancer. However, there is a lack of large and systematic prospective studies of the complications of polypectomy.

Patients And Methods: Data on all snare polypectomies performed in 13 institutions (six hospitals and seven gastroenterology offices) were recorded prospectively during a 20-month period, including data on a 30-day follow-up period.

Are guidelines followed in Helicobacter pylori diagnosis and therapy? An inquiry among gastroenterologists, referring physicians and patients in Munich.

Background And Study Aims: Attempts to standardize Helicobacter pylori (Hp) diagnosis and therapy have led to the publication of guidelines by various national gastroenterological societies in Europe and the USA. However, little information is available either regarding the compliance of gastroenterologists and referring physicians with these guidelines, or regarding the patients' perspective.

Patients And Methods: A retrospective analysis was conducted of all outpatient upper gastrointestinal endoscopy reports for a one-month period in eleven different centers (two university hospitals and nine private practice gastroenterology offices) with a total of 24 gastroenterologists.

[Incidental endoscopic finding--ileum carcinoid. Treatment strategy and prognostic factors].

The malignancy of gastro-intestinal carcinoids is dependent on localisation and size of the tumor. Tumors of the small bowel seem to have a tissue infiltration depth and extension independent of the primary tumor size. We give a case report of a patient with a carcinoid tumor in the terminal ileum with a diameter of 5 mm and a tissue infiltration depth to submucosa.

[Brief lavage in preparation for colposcopy].

In order to reduce the amount of fluid, necessary for whole-gut irrigation, 140 consecutive patients were pretreated with Bisacodyl before they got 2 liters of mannitol solution 5%. The cleansing effect was comparable to standard whole-gut irrigation (5-6 liters of mannite 5%), patients suffered less, duration of irrigation was reduced and there were no side effects related to Bisacodyl.

Common variable immunodeficiency syndrome and nodular lymphoid hyperplasia in the small intestine.

We report on a case of nodular lymphoid hyperplasia (NLH) of the small intestine in a patient with common variable immunodeficiency (CVID) syndrome. The CVID syndrome comprises a group of heterogeneous immunological disorders. It is characterised by hypogammaglobulinemia, recurrent sinopulmonary infections, gastrointestinal disorders (including diarrhea, infestation with Giardia lamblia, chronic-atrophic gastritis and nodular lymphoid hyperplasia (NLH), and an increased risk of malignancy.

[Internal biliary drainage in the "rendezvous" procedure. Combined transhepatic endoscopic retrograde methods].

Positioning of an internal biliary drainage is the treatment of choice in inoperable malignant stenoses of the ductus hepatocholedochus. The "rendezvous procedure" combines percutaneous transhepatic and endoscopic retrograde cholangiography. It enables positioning of the internal drain in about 95% of the cases within 40-60 minutes at a low complication rate.

Non-Hodgkin lymphoma of the rectum mimicking angioma.

We report on a 52-year-old man who was admitted to hospital for peranal bleeding due to a rectal tumor with the endoscopic aspect of an angioma. The histological work-up revealed a Non-Hodgkin lymphoma of low malignancy (centroblastic-centrocytic lymphoma in the Kiel classification). The lymphoma was staged IE.

[Cutaneous implantation metastasis following fine-needle puncture of pancreatic cancer].

A case report form is given of a patient who developed a cutaneous implantation metastasis of a punctured pancreatic carcinoma. Needle biopsy of the tumor, located in the head of the pancreas, had been performed before, as well as drainage of the necrotic pancreas tail. Necrosis had been caused by pancreatitis due to stenosis of the pancreatic duct.