[Complex duodenopancreatic injuries].

Injuries of the duodenopancreatic region are rare and difficult to diagnose and treat. The related high mortality is mainly due to the presence of associated lesions. Complex traumas (AAST grade IV and V lesions) require difficult surgical treatment with high postoperative morbidity and mortality rates.

[Intestinal obstruction due to Meckel's diverticulum. Description of three cases].

Among 588 small bowel mechanical obstructions operated since January 1982 until December 1996 at the Flajani Surgery Department and Emergency Department of the San Camillo Hospital in Rome, 3 male patients were operated for intestinal obstruction due to Meckel's diverticulum. In one case, obstruction was caused by a small bowel volvulus rolling on a Meckel's diverticulum, whose gangrenous extremity was "blocked" on caecum. In the other two cases, intestinal loops were incarcerated into an internal hernial ring constituted by the same diverticulum whose inflamed extremity was fixed to corresponding mesentery.

[Problems in reconstruction of digestive continuity in demolition surgery of the stomach].

The commonest stomach demolition techniques and the chances of re-establishing digestive continuity following gastric exersis are examined. The physiological consequences of gastric surgery - gastric, pancreatic and biliary consequences - are discussed. After analysing general and specific operating complications, early and late postoperative complications and general and metabolic complications, the paper closed with a presentation of the results of a reassessment of 1415 gastroduodenostomies carried out using the same technique over a period of eight years by three teams directed and controlled directly or indirectly by Prof.

[Use of the duodenum in demolition surgery of the stomach. Reconversion gastroduodenostomy in post-resection syndromes following Billroth II operations].

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.