Carcinoid of the Rectum

A case of rectal carcinoid is presented. The malignant potential of these tumours is emphasised. An approach to treatment of these lesions is outlined. Liver scintiscanning and peritoneoscopy are recommended as useful diagnostic aids in the assessment of these patients.S. Afr. Med. J., 48, 1112 (1974)

Nutritional support of the hospitalized patient Part 11. Clinical indications

The first part of this review dealt with the background, methodology and techniques of nutritional support. As a significant proportion of hospitalized patients suffer from various forms of unrecognized and untreated malnutrition, nutritional support is essential for the maintenance of body mass and function until specific treatment is able to influence the course of disease. The following review highlights vario.us medical and surgical conditions in which nutritional support, in particular total parenteral nutrition, has been advocated in adult patients. Nutritional repletion as 8 therapeutic modality is still in its infancy, and consequently its true role in patient management is still undergoing evaluation

The relationship between duodenal ulcer depth and gastric acid output

In the course of 750 routine duodenoscopies. 119 patients with duodenal ulcers who also had gastric acid tests, were assessed. A relationship was found between the depth of duodenal ulcers and the height of the gastric acid output. In both Black and Indian patients, maximal acid output was significantly higher in patients with deep duodenal ulcers compared with flat duodenal ulcers. There were more Blacks with deep ulcers, and more Indians with flat ulcers.S. Afr. Med. J., 48, 1405 (1974)