Word: diaphragmic
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...Hiatus. With the small patient under ether, Dr. Swan made a huge incision to open chest and abdomen. He pulled out a loop of the jejunum (uppermost part of the small intestine) and cut it off near the duodenum. Carefully he worked the long, free end upward to the diaphragm. For a time Dr. Swan had to turn his attention back to the dangling duodenum (see chart): he made a T-junction by stitching its attached bit of jejunum into the intestinal tract a couple of feet below the original cut (making a natural outlet for digestive juices...
...time to use the replacement tube, i.e., the severed jejunum. Dr. Swan cut a slit in the diaphragm beside the hiatus (where the esophagus normally passes through the diaphragm). Then, through the slit he pulled up the jejunum with its trailing tentacles of arteries and veins. Four and a half hours after operation's start, he was able to begin the fine sewing necessary to join the jejunum to the upper end of the esophagus. This gave Mike a short-circuited digestive tract: throat to gullet to jejunum, with the stomach and duodenum as spectators. Dr. Swan...
...first exposures showed what the doctors had been looking for. At the hiatus, where the esophagus (gullet) passes through the muscular diaphragm from the chest cavity into the abdominal cavity (see diagram), the muscle was weak and part of the upper stomach had herniated or bulged through it. How the hernia started, they could not tell (it might have been there in milder form since birth), but there was no doubt that it was the cause of much of the Pope's recent gastritis, hiccuping and vomiting. The hernia held food like a pouch, instead of letting it pass...
...Pope's stomach, and increase his feedings to build up his strength. By week's end they had him out of bed for a ten-minute walk in the garden, on the chance that exercise would make the protruding piece of stomach snap back through the diaphragm and into place. Unscientific as it sounds, many doctors agree that it would be the best treatment for the Pope, since it would not drain his feeble strength...
...beginning of each test, a strong-walled tube six feet long and three inches in diameter is charged at high pressure with an explosive mixture of hydrogen, oxygen and helium. When the gas is detonated (with a bang like a 37 mm. gun), it ruptures a copper diaphragm. A blast of hot gases preceded by a shockwave races down a long evacuated tube. Pushed by pressure behind and pulled by the vacuum ahead, it expands through two nozzles and in a twinkling reaches the speed of 10,000 m.p.h. (13 times the speed of sound...