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Summary Fundophrenicopexy is an effective procedure for repairing important mechanical parts of the LES. Pre- and postoperative measurement of pressure in 52 patients demonstrated an increase from =20.1 mmHg to =39.25 mmHg. Fundophrenicopexy is the more simple surgical management compared with fundoplication and is followed less frequently by complications. If anatomical conditions allow, fundophrenicopexy is preferred in surgical treatment of reflux esophagitis.

Summary Valvuloplasties of which, for example, the Nissen fundoplication is perhaps the most effective operation, have been devised to correct gastroesophageal reflux. Fundopexia, a more anatomical antireflux procedure has been performed in 326 patients with 80% good (Visick 1+11) clinical results. Postoperative complications and side effects are more frequent after fundoplication. In grade IV patients fundopexia is less successful. Since the introduction of H2-receptor antagonists the number of operations, especially fundopexia, has been considerably reduced.

Summary The paper reports on 11 spleen cysts (9 pseudocysts, 2 genuine). Gastrointestinal X-ray, colon contrast enema, urogram, cholecystcholangiography, angiography, and laparo-scopy allow differential diagnosis against other forms of intestinal displacement. Spleen scintigraphy proved highly reliable and least stress to the patient. We disapprove of test puncture. The possibility of complications makes immediate operation essential when spleen cysts are diagnosed.

Summary In our experience, the frequency of operations for gastroesophageal reflux have been reduced by about 45% since 1978. We have also noticed a change in the procedure of choice. Increasing knowledge of endoscopic staging of the disease has led to a decreasing frequency of anatomical reconstructions whereas fundoplication has increased. This analysis shows that not only the H2-receptor antagonists but also the knowledge of pathophysiology and clinical classification of the disease have influenced the frequency and the choice of procedure performed.

Summary Intra-abdominally localized neurogenic timors growing independently of the gastrointestinal tract are still rare observations. A benign Schwannoma was extirpated in toto from the ligamentum hepatoduodenale in a 59-year-old patient. The diagnosis of these tumors is very difficult in spite of modern diagnostic methods such as angiography, scintigraphy and endoscopy. Final diagnostic is reserved to laparotomy, which is combined with a quick histoligic tissue test. The further operative procedure is dependent on the result of histologic diagnosis.