In a recent article in the Lancet(1) Italian authors presented some ne
gative aspects of Italian medicine: too many doctors remain without a
job for too long and the state of medical training appears to be unsat
isfactory. At the same time they observed that Italy has international
ly recognized scientists and working groups of outstanding quality in
practically all sectors of clinical medicine and research. The situati
on could be improved by the better coordination and use of available r
esources. The present article briefly describes the status in Italy of
gastroenterology, a branch of medicine that is considered to be impor
tant in most countries. In Italy, however, despite considerable achiev
ements in research, the teaching of this specialty and the creation of
the necessary infra-structures have received scant attention, and var
ious aspects have evolved in an anomalous fashion with respect to othe
r European countries.