[ XXXX associated with upper gastrointestinal pathology. Critical evaluation of the emerging incidence and diagnostic and therapeutic indications].

@entity1 @entity4773 @entity357 @entity2963 @entity244 @entity356
Although cases of upper G.E. tract diseases associated with simple @entity2963 are described as specific syndromes in the literature (Saint's triad, @entity244 , etc.) they may be usefully evaluated with the aim of checking the following parameters: a) incidence and importance of associated pathologies; b) etio-pathogenetic correlation between age, sex and incidence; c) clinical extent of the disease and factors determining choice of medical or surgical treatment; d) more specific presurgical diagnostic investigation for certain cases; e) effect of combined surgery on recovery. Recent research carried out (Choctaw) in which the term associated pathology was defined is described. A sample of 358 @entity1 suffering from @entity2963 was examined. Of these, 230 were suitable candidates for surgery and systemic presurgical examination by means of digestive tract X-ray investigation and fecal blood tests. 35% of cases were found to be associated pathologies including @entity357 , peptic @entity4773 , @entity356 and various diseases of the large intestine. These data were found to be statistically different from data collected from a similar group of @entity1 complaining of abdominal colic who did not display symptoms of @entity2963 although 17% had diseases of the upper G.E. tract. Combined surgery was carried out on 82% of @entity1 and the subsequent follow-up period lasted for 1 to 3 years. A presurgical study programme aimed particularly at female @entity1 over 50 was therefore designed. Post-surgical recovery was not affected by combined surgery.
