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SUMMARY Eleven specimens of small intestinal strictures were seen at the Pathology Department of the University of Benin Teaching Hospital, Benin City, Nigeria, during a period of two and a half years. Eight of them were ischaemic in origin and the clinical and pathological features of these eight cases are described. In five of the cases, the ischaemia could be related to inguinal hernia, with herniorrhaphy a few weeks before surgery for stricture in four cases. The most important factor in making a clinical or pathological diagnosis of ischaemic stricture of the small intestine appears to be awareness of the condition. The importance is emphasised of studying the mesentery, with particular attention to lymph nodes and blood vessels, before making a final diagnosis on intestinal lesions.Tuberculosis, Crohn's disease, and neoplasia are generally accepted as the major causes of acquired strictures of the intestines. Strictures of small and large intestines resulting from prolonged ischaemia or occlusion of small blood vessels are well documented. It is our experience, however, that the diagnosis of this condition is often missed because the clinical and pathological features are not sufficiently well recognised.While reviewing material seen at the Pathology Department, University of Benin Teaching Hospital, we were struck by the finding that ischaemic strictures of the small intestine were not uncommon in the Bendel (old Midwestern) state of Nigeria. Eight of 11 specimens of strictures of the small intestine or terminal ileum and caecum seen in this Department

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Eighty‐eight patients who had symptomatic hiatus hernia were treated by fundoplication during 1967‐70. Worth‐while symptomatic benefit was achieved in 88 per cent of the patients who had reflux only and in 80 per cent of those who had radiologically demonstrable strictures as well as reflux. Both as a primary and ‘salvage’ operation fundopliction gave equally good results, relieving 86 per cent of patients of their symptoms.