Word: duodenum
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Dates: during 1960-1969
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There was also the problem of the bile ducts. The donor liver had come with its gall bladder and ducts attached. Rather than attempt a dangerously delicate joining of the common duct to the duodenum, Moore decided to attach the new gall bladder itself to the duodenum, allowing the bile to bypass the common duct. The entire operation took eight hours. Not until Tommy Gorence was sitting up and eating well, apparently making a good recovery, did the Brigham publicize the case. Tommy made good progress for four weeks, then ran into difficulties with a lung infection, a common complication...
...Paulo transplant, Rio de Janeiro's Dr. Edson Teixeira implanted a pancreas in diabetic, ex-soccer-star -turned -government-official Arari Charbel Rios, 28. Rather than remove Rios' failing pancreas, Teixeira simply stitched the new organ, donated by a heart-attack victim, to his patient's duodenum-snugly against the old one. At the first sign of rejection, says Teixeira, he will simply snip the implant out and Rios will be back where he started-on insulin...
After a briefly encouraging recovery, Kasperak again began to bleed internally, this time from "stress ulceration." In yet another operation, Dr. Harry Oberhelman Jr. closed the bleeding sites in the duodenum and cut the vagus nerve to reduce the stomach's output of digestive acids. But these measures, plus massive transfusions, failed to halt the bleeding, and Kasperak was soon back in surgery. In another 21-hour operation, the surgeons tried to stanch the bleeding from an ulcer high in his stomach, and removed his spleen in the hope of improving the clotting quality of his blood...
...transplanting livers, Dr. Thomas Starzl of the University of Colorado, has obtained 15 so far, with encouraging results in four recent operations on little girls (TIME, Dec. 1). Comparable problems of supply confront the University of Minnesota's Dr. Richard C. Lillehei, who has transplanted the pancreas with duodenum attached, and an almost complete intestinal tract...
...additional duodenum is not yet connected directly to the digestive tract. It will be hooked into a loop of the small bowel in about a month if the transplant remains healthy. So far, the transplanted kidney has effectively filtered the patient's blood and made urine; the pancreatic-duodenal graft has done its work so well that she has needed no insulin since her surgery...