Word: duodenum
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Dates: during 1950-1959
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...opening in his stomach shows that smoking makes little difference when the smoker is happy and at ease, but if he smokes under stress (as most smokers do), the results may be bad: nausea, stopping of stomach contractions, decrease in blood flow and stomach secretions. When the stomach or duodenum is already diseased (as with ulcers), smoking must be cut down...
...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...
...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 now had a choice. He could close Mike up, as originally planned, and finish the operation after jejunum and esophagus had grown together. Or he might go right ahead and make the necessary connection with the stomach. "How's your patient?" Dr. Swan asked the anesthesiologist...
...finding of an ulcer in the stomach, as distinct from the more common ulcer of the duodenum, need not mean that the patient must be rushed to surgery for fear of cancer, a team of Boston doctors reported after studying 1,000 cases. They still urge prompt operation for any stomach ulcer if there is reasonable suspicion of malignancy; otherwise, doctors can safely treat the patient for a month and see how the ulcer behaves...
...Girdany's child patients ranged from 14 months to eleven years old. Some had ulcers of the stomach, some of the duodenum. There were 25 girls and 20 boys, and nearly all told the familiar story of feeling intense pain when hungry, often in the middle of the night, and of getting relief after a meal. A few had had recurrent vomiting spells instead of pain -possibly a sign of ulcers that are otherwise overlooked...