[Esophagitis secondary to jejuno-esophageal reflux after total gastrectomy and Roux-en-Y loop].

We report a case of esophagitis secondary to jejuno-esophageal reflux after total gastrectomy and 60 cm Roux-en-Y jejunal loop. Both esophagitis and jejuno-esophageal reflux disappeared after lengthening of the Y-loop by 50 cm.

Severe anal condylomata acuminata following high-dose chemotherapy and autologous hematopoietic stem cell transplantation: a case report.

We report the case of a 37 years old male patient who developed severe anal condylomata acuminata after high-dose chemotherapy and autologous hematopoietic stem cell transplantation for follicular non-Hodgkin's lymphoma. Anal warts were particularly disabling, refractory to the treatment and finally imposed diversion colostomy. The role of cellular immunodeficiency observed after high-dose chemotherapy and autologous hematopoietic stem cell transplantation as etiology of anal condylomata is discussed.

Epidemiology of inflammatory bowel disease in Brussels' area (1992-1993).

A prospective epidemiological study on inflammatory bowel diseases (IBD) patients was performed in Brussels' area from April 1st, 1992 to 30th March, 1993. The mean annual incidence for Crohn's diseases (CD) was 4.1/10(5) inhabitants/year among native Belgian people and 6.

Jejunal diverticulitis.

A case of perforated jejunal diverticulitis in a 44-yr-old man is described and the literature is reviewed. Jejunal diverticulosis occurs in 0.07% to 2% of the population.

[Colonic neuroendocrinology].

The intrinsic innervation of the colon is provided by enteric plexi, of which some axons form the neuro-enterocytic junction and others are interconnecting. The extrinsic innervation depends on the autonomous para- and ortho-sympathetic nervous system and is modulated and administered by the central nervous system. Neurotransmission occurs at the level of the mucosa through acetyl-cholin and VIP, among others.

[Colonic inertia and rectal obstruction (Arbuthnot Lane disease)].

Colonic inertia and outlet obstruction are a major problem of constipation affecting almost solely women and are characterised by an extreme slowness of colonic transit time (less than 80 percent of the markers eliminated in five days) and by a lack of relaxation and a contraction of pelvic muscles, mainly of the pubo-rectalis, during defecation. This syndrome is associated with a high frequency of gynecological diseases (first described in 1908 by Arbuthnot Lane), galactorrhea, urological abnormalities, abnormal manometric oesophageal recordings, Raynaud's phenomenon, idiopathic oedema, orthostatic hypotension and neurological symptoms. A distinctive abnormality of the colonic myenteric plexus has been described.

Medical treatment of Crohn's disease. Controlled trials.

From controlled studies only, the authors state the true position of medical therapeutics for the Crohn's disease when it attacks the small intestine and the colon. Sulfasalazine remains the first rate medicine, essentially when the ileum and colon, or colon alone, becomes affected. Metronidazole seems as effective, indeed slightly more so.