21.   Significant small intestinal strictures were excluded by small bowel radiological investigations.

22.   Small bowel obstruction continues to occur after this operation despite increasing experience with the procedure.

23.   In some patients the small bowel has required resection for relieft of obstruction due to infarction or iatrogenic damage.

24.   On the other hand, in adult megacolon with a megarectum, the results are extremely good provided small bowel and anal function are normal.

25.   Gastric acid is the primary barrier against orally ingested enteric pathogens, and a major regulator of small bowel flora.

26.   Obstructive symptoms then resulted in a further small bowel resection but he did not achieve remission despite prednisolone.

27.   In this series a proved cause for small bowel blood loss was an infrequent finding.

28.   Recently, an absorptive transport mechanism was discovered at the small bowel level suggesting the possibility of a carnitine deficient state in patients with mucosal damage.

29.   One patient was only diagnosed when he presented with small bowel lymphoma.

30.   In nine of these cases it was the added development of gastrointestional symptoms that finally led to small bowel biopsy and the diagnosis of coeliac disease.