[Clubbed fingers in a case of low-malignancy leiomyosarcoma and mixed-type hiatal hernia].

History And Clinical Findings: The husband of a 33-year-old woman had noticed clubbing of her finger nails. She herself reported frequent gastric reflux symptoms. Admission findings were unremarkable except for finger clubbing.

Observation of gastric glandular cysts in the corpus mucosa of the stomach under omeprazole treatment.

In patients undergoing long-term treatment with omeprazole, tiny gastric polyps, described histologically as glandular cysts, have occasionally been reported. We report on a further nine patients (5 women and 4 men) undergoing omeprazole treatment who developed endoscopically visible and histologically verified glandular cysts. Eight patients were on long-term treatment with omeprazole for reflux oesophagitis, and the glandular cysts were observed between 8 and 60 months after the start of treatment.

[Application and fixation systems in enteral nutrition].

Enteral nutrition is becoming more convenient because of a lot of available different techniques. Tubes can be placed nasogastrically, nasoduodenally or nasojejunally, as bedside method controlled by X-ray or with the aid of an endoscope. If there is a risk of spontaneous removal, fixing with a stabilisation system is helpful.

[Adenomatosis of the bile ducts as a rare cause of cholestasis].

Biliary obstruction of uncertain aetiology in a 69-year-old women led to a cholecystectomy and exploration of the bile tract: a nearly complete cast of the hepatic ducts and intrahepatic bile ducts was extracted. Histological examination of the gall bladder and liver biopsy failed to provide a diagnosis, but a bile duct biopsy taken at the time of an endoscopic retrograde cholangiography revealed the diagnosis of papillomatosis. This disease has a poor prognosis because there is no known cure.

[Use of a stabilization system for fixation of enteral feeding tubes. Comparative study].

Inadvertant tube dislodgement is a problem in confused patients. In 100 consecutive patients feeding-tubes were placed and secured with adhesive tape or use of a stabilization system. Duration of placement was significantly different in the 2 groups (tape-fixation 6.

[Adjuvant therapy with elemental diet in chronic inflammatory intestinal diseases. Comparative study].

26 in-patients (17 with Crohn's disease, 9 with ulcerative colitis) were given high-molecular (diet 1; 12 patients) or low-molecular (diet 2; 14 patients) elemental diets (6.3-12.6 MJ) additional to drug treatment previously given as out-patients.

Simultaneous endoscopic and radiologic examination of the colon.

The selective radiologic visualization of pathologic ileocolonoscopic findings using contrast medium offers various advantages over endoscopy or radiologic evaluation performed alone. It allows one to combine a macroscopic biopsy with the radiologic examination and documentation procedure. The technique proves useful to document benign and malignant stenoses and tumors of the colon, diverticular disease, and mucosal abnormalities in long-standing ulcerative colitis and Crohn's disease, and to visualize fistulae, the appendix, or terminal ileum.

[Complications of continuous tube feeding in 110 internal medicine patients].

110 patients aged 70.9 +/- 2.0 years were tube-fed over an averaged period of 24.

[Localization of feeding tubes. Prospective studies on 102 patients].

The frequency of dangerous or potentially dangerous locations of nasogastric tubes, when introduced without the aid of visualising techniques, was examined in a prospective investigation on 102 patients. Out of a total of 185 gastric tubes inserted, 60 were correctly located at the small or large curvature, 56 showed coiling in the stomach, and in 33 cases the apex of the tube lay in the fundal region. 13 intubations, although not classifiable in this scheme, could be left in place for feeding.

[Endoscopically and radiologically documented coloscopy. A method for the demonstration of pathologic findings].

Colo-ileoscopy is increasingly used in the primary diagnosis of diseases of the colon. But a disadvantage of the method is that the findings cannot be demonstrated spacially or documented. This can, however, be made up by instilling an iodine-containing, water-soluble contrast medium into the endoscopically demonstrated abnormal area and obtain a radiological documentation.