Word: duodenum
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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...
...eventually damages nearly all the body's arteries, including those supplying the kidneys. In this case, the patient's kidneys had already failed, and she was being kept alive by dialysis. Her pancreas was functioning poorly. The doctors were equally concerned about the working of her duodenum, a source of little-understood hormones...
Last New Year's Eve, another woman died at the hospital from the effects of a stroke. Dr. William D. Kelly and Dr. Richard C. Lillehei already had permission to remove the organs they needed. They took out the conjoined pancreas and duodenum as a unit and also took a kidney. They implanted the kidney near the patient's right groin. Then, instead of replacing her own pancreas and duodenum with the graft, they left her digestive tract intact and implanted the entire new unit in the left iliac fossa, just above the groin. It is hooked...
...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...