Tenolysis in juvenile diabetic cheiroarthropathy.

Abstract

found at the pylorus but its distal end was in the ileum about 20 cn from the ileocaecal valve.The two portions were still attached by the nylon coil that reinforces the latex of the -Celestin tube (figure).The small bowel between the two portions of the tube was gathered and shortened over the nylon, and there were seven full-thickness ulcers on the mesenteric border of the 30 cm of ileum immediately proximal to the distal end of the tube.The ulcerated bowel was resected and an end-to-end anastamosis performed.At endoscopy and laparotomy there was no macroscopic evidence of residual tumour.The patient remained well for a further six -months but then rapidly developed severe dysphagia due to recurrent malignancy.He died 20 months after the onset of his initial symptoms... i ..