[Progress in the treatment of gastrointestinal cancers due to introduction of neoadjuvant concept].

Formerly the treatment of gastrointestinal cancers was exclusively surgical. Though the results were improved by increased radicality, the real progress was achieved by the introduction of multimodal therapy, particularly by the neoadjuvant concept. The basic prerequisite for neoadjuvant treatment is precise staging and risk assessment.

[New laparoscopic procedure for the treatment of large hiatal hernias: the first 20 cases].

Aims: To evaluate the effect of a new laparoscopic procedure, which was developed in our institute for reinforcement of posterior hiatoplasty.

Methods: The results of our first 20 patients of this ongoing prospective study are presented. All patients had gastro-oesophageal reflux disease and a hiatus defect greater than 6 cm.

[The role of surgery in the treatment of gastric lymphoma].

Less than 5% of gastric malignancies are gastric lymphomas. Treatment attitudes have considerably changed in the past 15 years. The international guidelines emphasize the decreasing importance of surgical treatment.

[Simultaneous pancreas-kidney transplantation--an alternative option for the treatment of type 1 diabetes mellitus with renal failure].

Introduction: Simultaneous pancreas kidney (SPK) transplantation is the only routinely used therapeutic option which can provide insulin independence, euglycemia and good renal replacement.

Aims: Analysis of the five years' experience of the first Hungarian SPK transplants.

Material: From 29 October 1998.