Gastric hamartomatous polyps were found in 25 patients over a period of 4 1/2 years, for an incidence of 11% in all endoscopically biopsied polyps. The number of polyps was fewer than 5 in most patients. All polyps were sessile, sharply demarcated, hemispheric protrusions, measuring up to 10 mm in diameter but most were less than 5 mm. The most characteristic finding differing from hyperplastic polyps, adenoma, and polypoid carcinoma was that hamartomatous polyps were located in the fundic gland mucosa, which was demonstrated as a rugal area on moderately distended double-contrast radiographs.

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Radiographs of 12 carcinoid tumors of the rectum were reviewed and compared with pathologic findings. There was a good correlation between the radiologic and pathologic findings with respect to tumor invasion and extent. Nine tumors that radiologically presented a smooth round defect less than 2.0 cm in diameter did not invade the muscular layer and did not metastasize. Three tumors that presented a deep crater with an irregular edge greater than 2.0 cm were found to have invaded the muscular layer and metastasized to the lymph nodes or the liver. The double-contrast enema showed an excellent detection rate; no lesion was missed by it.

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