Electronmicroscopy and electron probe energy dispersive X-ray analysis
studies have substantially contributed to our understanding of the va
rious gastrointestinal tract melanoses. The nature of the pigment gran
ules which occur in the various melanoses is discussed; their pattern
of distribution in melanosis coli, melanosis ilei, melanosis duodeni a
nd melanosis oesophagi is summarized and current knowledge of the aeti
ology and pathogenesis of these conditions is reviewed. Brief mention
is also made of other examples of lipofuscin pigmentation, and a case
of haemosiderosis ilei is described.