This study reports 4 cases of Behcet Syndrome which came under our obs
ervation and were surgically treated for vascular or gastrointestinal
manifestations, These cases included 3 males and 1 female, mean age 26
.5 years, of which 2 were treated with implantation of prosthesis for
aneurysm of the abdominal aorta with recurrence of Behcet vasculitis a
nd prosthesis substitution three years later in one case, I with total
colectomy for ulcerous rectocolitis, while the last case (female) req
uired excision and plastic reconstruction, for a perforated duodenal u
lcer, Immediate and long-term results of the surgical treatment of the
gastrointestinal and vascular manifestations and/or complications wer
e satisfactory, whereas the long-term results of the medical treatment
of the basic disease were unsuccessful in 50% of cases, BS is a rare
affliction, whose pathogenesis is still poorly defined and in which th
e results of medical treatment cannot be regarded as satisfactory to d
ate, Surgical treatment of its vascular and gastrointestinal manifesta
tions and complications, on the other hand, was effective in our exper
ience.