[Crohn disease: prognostic factors and therapeutic choices].

The treatment of Crohn's disease is still a debatable issue especially as regards the integrated implementation of medical and surgical therapy, the timing of surgery and the choice of surgical technique. Prognostic factors seem to be important in the choice and planning of therapeutic procedures. The authors retrospectively review 81 patients, 31 of whom submitted to surgery.

[Colonic diverticulosis complicated with perforation. Analysis of several prognosis variables and criteria for emergency surgery].

The aim of this study was to analyse the clinical course, surgical strategy and results in patients with perforated large bowel diverticulitis. Over a 15-year period ending in January 1997, 25 patients (13 males and 12 females; mean age 64.1 years) underwent operation for perforation of acute diverticulitis.

[Serous cysts of the transverse mesocolon: a review of the literature in the light of 2 cases brought to our notice].

Mesenteric cyst is one of the rarest tumours, with about 820 cases reported since 1507. Ultrasound and TC are the most valuable modalities for diagnosis of mesenteric cyst. Surgical resection is the treatment of choice.

[Extended resection in locally advanced colon cancer].

Colorectal malignant tumors with a mono o multivisceral involvement have a poor prognosis and surgery is the only treatment with a hope to be curative. Aggressive surgical management of locally advanced colo-rectal cancer seems to be justified by good oncological results. At the Institute of Clinica Chirurgica of the University of Trieste 58 extended resections were performed for advanced tumors of colon and rectum.

[Results of surgical treatment in Cushing syndrome].

The authors report 10 cases of hypercortisolism studied at University's Surgical Clinic of Trieste (Italy). Comparing their results to the recent Literature, they observe the highly reliability of the instrumental and laboratory investigations to achieve an accurate preoperative diagnosis. The effectiveness of surgical therapy evinces not only from absence of surgical mortality and morbility, but also from optimal results of follow-up: all patients, in fact, heal completely in few weeks or months.