Contents of volume 119

Contents of Volume 119 January

PAPERS 1 Presidental

9

OF THE SOCIETY

1970

FOR SURGERY

OF THE ALIMENTARY

TRACT

Address: The Cut Gut J ENGLEBERT DUNPHY

The Diagnosis of Esophagitis in Surgical Patients BOLEK BRANT, RICHARD P ARMSTRONG,

ROGER

H BUTZ, and R MARK

15

Surgical Management of Severe Reflux Esophagitis. Eight to Seventeen Year Follow-Up Study ARTHUR W WEAVER, ALFRED M LARGE, and ALEXANDER J WALT

21

Esophageal Motor Manifestations in Diabetes Mellitus A RICHARD VELA and LOUIS A BALART

27

Palliative Intubation for Malignant Strictures of the Esophagus EUGENE T TRAGUS and JACK L GRIFFITH

30

Effect of Cholecystectomy on Bile Flow and Composition in Response to Food DAVID L NAHRWOLD and MORTON I GROSSMAN

35

Stenosis of the Sphincter of Oddi WILLIAM W SHINGLETON

and DOUGLAS

GAMBURG

38

Selection of an Optimal Procedure for Decompression of the Obstructed Observations LEON MORGENSTERN and J MANNY SHORE

45

Choledochoduodenostomy. An Unjustly Maligned Surgical Procedure? JOHN L MADDEN, JOHN Y CHUN, SOUHEL KANDALAFT,

55

Common

Bile Duct. Experimental

and Clinical

and M PAREKH

Role of the Lymphatic System in the Pathogenesis of Inflammatory Disease in the Biliary Tract and Pancreas STEVEN WEINER, LUIS GRAMATICA, LOTHAIRE D VOEGLE, ROBERT L HAUMAN, MARION C ANDERSON

62

Rate of Water and Sodium Absorption from the Jejunum after Abdominal Surgery in Man CHARLES P SHOEMAKER, Jr and HASTINGS K WRIGHT

64

Effect of Gastric Juice on the Absorption of Water and Chloride in the Ileum R HOCHMAN, P K KOTTMEIER, R ADAMSONS, and C DENNIS

67

Experimental

70

Positive Nitrogen Balance Immediately after Abdominal Operations BENJAMIN F RUSH, Jr, J DAVID RICHARDSON,

77

VETTO

and

Studies of Absorption of Methionine in Intestinal Loops of Dogs CHRISTOPHER W HAUGE and WILLIAM W KRIPPAEHNE

Experience with Ileostomies. Evaluation of Long-Term PAUL H ROY, WILLIAM G SAUER,

and WARD

0 GRIFFEN,

Rehabilitation in 497 Patients OLIVER H BEAHRS, and GEORGE

Jr

M FARROW

87

Single Stage Proctocolectomy for Severe Ulcerative Colitis. Comparison with Less Extensive Surgical Procedures H WILLIAM SCOTT, Jr, JOHN E WIMBERLY, HARRISON J SHULL, and DAVID H LAW, IV

95

Principles of Management of Exstrophy of the Cloaca EDWARD S TANK and S MARTIN LINDENAUER

iii

Contents

99

106

Surgical Treatment of Meconium Ileus JAMES A O’NEILL, Jr, JAY L GROSFELD, H WILLIAM CLATWORTHY, Jr

E THOMAS

Erosions of the Cecum. A Cause of Massive Hemorrhage ROBERT J CORRY, MARSHALL K BARTLETT, February

PAPERS

OF THE SOCIETY

FOR SURGERY

BOLES, Jr, and

and RICHARD

B COHEN

1970

OF THE ALIMENTARY

TRACT

(Continued)

111

Guest Lecture: Immunology in Gastrointestinal JAMES E McGUIGAN

Research and Patient Care

118

Emergency Vascular Opacification Studies in Patients with Massive Occult Gastrointestinal Bleeding W M STAHL, A E DUMONT, R M ABRAMS, E R BERANBAUM, and H EPSTEIN

122

Splenectomy

132

Encephalopathy after Portacaval Shunting Managed with Lactulose H BROWN, C TREY, and W V MCDERMOTT, Jr

138

Experimental

Auxiliary Liver Allotransplantation. With Special Reference to Biliary Duct Obstruction and Hepatic Arterial Blood Restriction of Original Liver HISANORI UCHIDA, GEORGE J MOTSAY, OCTAVIO RUIZ, and RICHARD C LILLEHEI

147

Heterologous

Bovine Liver Perfusion Therapy of Acute Hepatic Failure ROBERT E CONDON, C THOMAS BOMBECK, and FREDERICK

and Coronary Vein Ligation for the Control of Bleeding Esophageal Varices GARDNER W SMITH

155

Cardiovascular Effects of Induced Insulin Hypoglycemia in Man during the Hollander RAYMOND C READ and JAMES E DOHERTY

163

Recognition

171

Serum Insulin Levels in Patients with Chronic Pancreatitis JERRY B ROGERS, JOHN M HOWARD,

and FREDERICK

Influence of Bile on the Canine Gastric-Antral Mucosa RENI? MENGUY and MARTIN H MAX

183

Vagotomy, Gastric Blood Flow, and Hemorrhage from Gastritis WILLIAM R OLSEN, WILLIAM J FOLEY, and MICHAEL

191

Surgical Management of Peptic Ulcer L E SAVAGE and C B McVAY

197

Low Molecular Weight Dextran in Experimental LARRY C CAREY

200

Pancreatic Fistula GEORGE

213

Test

and Management of the Diarrhea1 Syndrome Caused by Nonbeta Islet Cell Tumors of the Pancreas AVRAM R KRAFT, RONALD K TOMPKINS, and ROBERT M ZOLLINGER

177

208

STEIGMANN

L JORDON,

W PAIRENT

A SIMON

Pancreatitis

Jr

Unusual Causes of Occult Bleeding from the Gastrointestinal Tract EDWARD S STAFFORD, GEORGE D ZUIDEMA,

and JOHN L CAMERON

Effect of Protease Inhibitors on Experimental Peptic Ulceration CASSIUS M ELLIS, JOHN B LUNSETH, and DEMETRE

217

Gastric Peristalsis. A Study of Regional Rates of Contraction C S BECK and G R MASON

220

In Memoriam: John Van Prohaska, RENI? MENGUY

MD

M NICOLOFF

Contents

581

Relationship

of Depot Fat Embolism to Pulmonary Structure and Function JOHN A COLLINS and MITCHELL C CALDWELL

585

Heart Disease and the Malignant Carcinoid Mechanisms RAYMOND A AMOURY

595

Clinical Significance of Intraluminal pH in Intestinal Ammonia Transport JOHN B PRICE, Jr, MASASHI SAWADA, and ARTHUR

599

The Perineoabdominal ALFRED

603

Renal Response to Systemic Trauma SAMUEL R POWERS,

606

Syndrome. A Case Report and Review of Pathophysiologic

Operation. An Improved Operation M MARKOWITZ

Paget’s Disease of the Breast SVEN J KISTER

in Rabbits

B VOORHEES,

and Pathogenetic

Jr

for Rectal Cancer

Jr

and C D HAAGENSEN

610

Controlled

Rate of Drainage of Thoracic Duct Lymph ROY H CLAUSS and ERNEST S BREED

613

Open Heart Surgery in the Infant JAMES R MALM, FREDERICK

0 BOWMAN,

Jr, MARY JANE JESSE, and SIDNEY BLUMENTHAL

June 1970

619

Thrombosis

Prophylaxis and the Pill KENNETH K MEYER

and WILLIAM

C BECK

620

Angiographic

Study of the Collateral Circulation to the Liver after Ligation of the Heptic Artery in Man S BENGMARK and K ROSENGREN

625

Operative Management of Calculi in the Hepatic Ducts J MANNY SHORE and GEORGE BERCI

632

Postoperative

Hemorrhage from Stress Ulceration of the Stomach and Duodenum ROBERT S FLOWERS, KENNETH KYLE, and STANLEY 0 HOERR

637

Management

of Bleeding Stress Ulcers JOHN KUNZMAN

640

Mesenteric Cysts WILLIAM

J HARDIN

and JAMES D HARDY

646

The Natural History of Tumors Implanted NORMAN B ACKERMAN

Beneath the Gastric Serosa in Rats

649

Low Anterior Resection in Cancer of the Rectum GUY L KRATZER and M SHEIN

WIN

652

The Second Colorectal Cancer. A Retrospective Analysis of the Value of Extended Colonic Resection RONALD GRUBER, CLARENCE J SCHEIN, and MARVIN L GLIEDMAN

655

Routine Drip Infusion Pyelography ARTHUR T EVANS and RICHARD

A KNOBLAUGH

660

Selective Reduction of Incarcerated Inguinal Hernia H M KAUFFMAN, Jr, and D P O’BRIEN

674

The Surgical Treatment of Esophageal Hiatus Hernia ROBERT A MUSTARD

ix

contents

March 1970

221

A Look to the Future of Training in General Surgery GEORGE CRILE, Jr

222

Studies in the Management of the Contaminated Wound. IV. Resistance to Infection of Surgical Wounds Made by Knife, Electrosurgery, and Laser JOAN E MADDEN, RICHARD F EDLICH, JOSEPH R CUSTER, PATRICIA H PANEK, JANE THUL, and OWEN H WANGENSTEEN

225

Changes in Blood Coagulation JOHAN YGGE

233

The Spectrum of Mesenteric Infarction GEORGE E PIERCE and EDWIN

and Fibrinolysis

Period

C BROCKENBROUGH

240

Functional

246

Subfascial Ligation of Perforating Veins in Recurrent Stasis Ulceration ROBERT C LIM, F WILLIAM BLAISDELL, JAY ZUBRIN, ALBERT D HALL

250

Results after Revascularization D E STRANDNESS, Jr

during the Postoperative

of the Profunda

ROBERT J STALLONE,

Ulcer Recurrence versus Death in Peptic Ulcer Surgery STEPHEN L WANGENSTEEN

256

Carcinoma

Common

of the Stomach in a Large Community Hospital VIDYAPATI NATH SINHA, EDWARD ARTHUR

SHORTEN,

Duct Dynamics in Man. The Influence of Sympathetic Block CLARENCE J SCHEIN, VICTOR EL TAWIL, HERBERT

and BERTRAM

DARDIK,

Role of Pancreatic Secretions in Uremic Gastroenterocolitis GUSTAV0 BOUNOUS

269

Spleen Effluent Manipulations. Some Biologic Possibilities L D WILCOX, N GERGELY, RONALD PASSI, JOHN SALES, DOUGLAS STEPHEN MOORE

275

Surgical Experience in a Combat Zone JAMES M FELTIS, Jr

279

Solid Tumor Chemotherapy. What Have We to Offer? ALVIN L WATNE

288

A Twenty-Five Year Experience with Soft Tissue Sarcomas ARNOLD G CORAN, DIANE W CROCKER,

298

300

Epidermoid

Carcinoma of the Palate ERICK R RATZER, ROBERT

J SCHWEITZER,

and RICHARD

and EDGAR

Clinical and Research Applications of a New Elastic Cohesive Bandage MARVIN WAGNER, IRVING LUTSKY, BARNEY BECKER,

WEINSTEIN

KATZ

and THOMAS C BENEVENTANO

264

294

and

Impaired Intestinal Absorption in the Zollinger-Ellison Syndrome Independent of Gastric Hypersecretion HASTINGS K WRIGHT, THEODORE HERSH, MARTIN H FLOCH, and L DONALD

254

261

Femoris Artery

HOLDER,

and

E WILSON

L FRAZELL

and RICHARD

RODGERS

Human Lung Allotransplantation. Report of Two Cases ARTHUR C BEALL, Jr, DANIEL E JENKINS, JOHN G WEG, PAUL M STEVENS, GEORGE P NOON, PHILIP C JOHNSON, ROBERT L BELL, J VERNON KNIGHT, ROGER D ROSSEN, WILLIAM T BUTLER, R GORDON DOUGLAS, Jr, TEMPLE W WILLIAMS, JOHN M LEWIS, ROBERT 0 MORGEN, ROBERT S MacINTYRE, M SIDNEY ANDERSON, ASHOK M BALSAVER, and MICHAEL E DeBAKEY

Contents

311

Mechanism

of Perforation of the Heart with Production of Hydropericardium by a Venous Catheter and its Prevention RALPH L BRANDT’, WILLIAM J FOLEY, GEORGE H FINK, and WILLIAM J REGAN

317

A Study of Quinacrine ROBERT

322

Adenoma of the Nipple. A Benign Lesion Simulating Carcinoma Clinically and Pathologically RONALD L GOLDMAN and HOWARD COOPERMAN

326

Open Aspiration for Solitary Liver Abscess HUBERT C PATTERSON

330

Radiosotope

334

Problems in Diagnosis and Treatment in Renal Transplantation GHOLAM H MALEK and WILLIAM A KISKEN

337

Cancer of the Bile Duct and Chronic Ulcerative Colitis RICHARD R BABB, R HEWLETT LEE, and OWEN C PECK

340

Reversed Jejunal Segment One Year after Operation J LYNWOOD HERRINGTON, Jr

343

Multiple (Five) Primary Malignant Lesions MARTIN J HEALY, EUSEBIUS

Dihydrochloride I HILLER

in the Human Breast in Vitro and in Vivo

Scanning in the Diagnosis of Liver Abscess SO0 TONG PA1 and YONG WHEE BAKK

MURPHY,

JACOB TAUB,

and RENATO

AZZARI

348

Esophageal Rupture Associated with an Incarcerated Paraesophageal Hernia and Pyloric Obstruction BERNARD J LEININGER and CHARLES B PUESTOW

352

Our Surgical Heritage: Nathan Bozeman and Wilhelm von Ludwig D P HALL

353

A Satisfactory Operation for Interdigital JOSEPH E STRODE

354

Multipurpose

356

Self-Retaining

Soft Corns (Clavus Molle)

Incision for Neck Dissection after Irradiation WILLIAM B NICKELL, M J JURKIEWICZ,

and LEONARD

T FURLOW,

Jr

Costa1 Arch Retractor FRED W BRAASTAD

April 1970 PAPERS

OF THE NEW ENGLAND

SURGICAL

357

Presidential

362

Changing Educational Needs for Graduate EMERSON H DRAKE

365

Primary Incompetence of the Gastric Cardia CLEMENT A HIEBERT

372

Pyloroplasty

375

Ileorectal Anastomosis for Inflammatory Disease of the Large Bowel MALCOLM C VEIDENHEIMER, THOMAS H DAILEY,

vi

SOCIETY

Address: The Pursuit of Happiness RICHARD WARREN Training of the General Surgeon

and Vagotomy for Duodenal Ulcer. A Four to Eleven Year Follow-up Study WILFRED T SMALL and M REZA JAHADI

and WILLIAM

A MEISSNER

Contents

379

Supradiaphragmatic Splenic Transposition. GERALD 0 STRAUCH

A Successful Option in the Treatment

385

Femoropopliteal Saphenous Vein Bypass Grafts. Analysis of 150 Cases FERRIS S RAY, C PHILIP LAPE, CHRIS A LUTES,

of Chiari’s Disease

and RICHARD

C DILLIHUNT

392

Surgical Considerations in the Management of Lesions of the Profunda Femoris Artery DONAL M BILLIG, ALLAN D CALLOW, and RALPH A DETERLING

397

Ruptured

Arteriosclerotic Abdominal Aortic Aneurysms. R CLEMENT DARLING

402

Ruptured

Abdominal Aortic Aneurysms DANIEL W van HEECKEREN

408

Management

417

Diagnosis of Deep Venous Thrombosis by Measurement SUBHAS C MULLICK, H BROWNELL

A Pathologic and Clinical Study

and Mortality in Resection of Abdominal Aortic Aneurysms. A Study of 114 Cases NATHAN P COUCH, FREDERICK C LANE, and CHILTON CRANE of Electrical Impedance WHEELER, and GERARD

423

Late Results of Plication of the Inferior Vena Cava with Staples. An Experimental DAVID M SENSENIG

427

The Central Nervous System in Experimental Hemorrhagic F A SIMEONE and M WITOSZKA

433

Hypocapnia

440

Pulmonary

and Gram-Negative EMIL BLAIR

F SONGSTER

Study

Shock. The Cerebrospinal

Fluid Pressure

Bacteremic Shock

Arteriovenous Admixture. Improvement with Albumin and Diuresis JOHN J SKILLMAN, BIPINCHANDRA M PARIKH, and BARBARA

448

Tissue Transplantation as an Analytic and Therapeutic SELDON E BERNSTEIN

452

Brain Scanning as an Aid to Surgery for Strokes CARL A BRINKMAN

455

Cancer of the Tongue. Experience at the Hartford Hospital from 1931 to 1963 N WILLIAM WAWRO, ALBERT BABCOCK, and LEE ELLISON

462

Localization

465

Results of Surgery for Constrictive Pericarditis in Pediatric Patients J E JONES, W F BERNHARD, C G LaFARGE, and R E GROSS

469

Current Surgical Management of Pulmonary Tuberculosis WILFORD B NEPTUNE, SAMUEL KIM,

J TANENBAUM

Tool in Hereditary Anemias

of Hyperfunctioning Parathyroids. The Surgeons’ Riddle CHIUAN WANG, RICHARD E REITZ, JAMES J POLLARD, DONALD J FLEISCHLI, TIMOTHY M MURRAY, LEONARD J DEFTOS, JOHN T POTTS, Jr, and OLIVER COPE

477

Functional

Restoration of Decompensated W HARDY HENDREN

483

Speed on Snow. The Motorized Sled RAYMOND H DOMINIC1

and JOHN BOOKWALTER

Ureters in Children

and EMERSON

H DRAKE

May 1970 A FESTSCHRIFT 489

FOR

DR GEORGE

H HUMPHREYS,

II

Foreword STEPHEN

L WANGENSTEEN

and JOHN B PRICE,

Jr

vii

Contents

491

Uncle George and His Christmas Tree FREDERIC P HERTER

495

Tributes to George H Humphreys, II H HOUSTON MERRITT,

RALPH

497

Who Put the LSD in the DNA? CALVIN H PLIMPTON

501

Portasystemic

506

Modified Radical Mastectomy: Why Not? HUGH AUCHINCLOSS

510

Augmentation

of Hepatic Blood Flow by Acetylcholine STEPHEN L WANGENSTEEN, ROBERT

Water Balance and Extravascular FRANK E GUMP,

519

A Practical Method of Transmembrane STANLEY GIANNELLI,

527

Subareolar

Nutrition

534

Perforation

537

542

548

M LUDEWIG,

Gas Exchange for Open Heart Surgery Jr, E FOSTER CONKLIN, STEPHEN M AYRES, and HILTRUD

IRVING

GOODMAN,

and NORBERT

S MUELLER

LATTES

I A OVERWEG

in Surgical Patients HENRY T RANDALL of the Esophagus WALTER A WICHERN,

Jr

Gastric Defense Mechanisms LESLIE WISE and WALTER Management

F BALLINGER

of Congenital Atresia of the Intestine THOMAS V SANTULLI, CHIOU-CHIANG

Some Theoretic Aspects of Vascular Degeneration KEITH REEMTSMA, LAWRENCE

II

CHEN,

B SANDBERG,

and JOHN N SCHULLINGER

and H H GREENFIELD

Prevention

560

The Discovery of a Potent Pure Chemical Wound-Healing Accelerator JOHN F PRUDDEN, PETER MIGEL, PAUL HANSON,

of Death after Renal Transplantation. I. Recognizable Patterns Leading to Death in Long-Term Survivors RICHARD L SIMMONS, MARION B TALLENT, CARL M KJELLSTRAND, and JOHN S NAJARIAN

565

Studies on Mechanical Assistance to the Failing Circulation JOHN E CONNOLLY

570

Traumatic

574

Surgical Treatment of Renovascular Hypertension JOSEPH A BUDA, FERDINAND

viii

Jr

Lung Water Measurements in Surgical Patients YOSHIYA MASHIMA, and JOHN M KINNEY

553

579

ROB

and JAMES J MADDEN,

Abscess Associated with Squamous Metaplasia of Lactiferous Ducts DAVID V HABIF, KARL H PERZIN, RITA LIPTON, and RAFFAELE

Serotonin and Intestinal Motility ROBERT B HIATT,

530

Jr, and CHARLES

Shunting Procedures for Portal Hypertension. Twenty-Six Year Experience in Adults with Cirrhosis of the Liver ARTHUR B VOORHEES, Jr, JOHN B PRICE, Jr, and RICHARD C BRITTON

515

523

A DETERLING,

LOUIS FRIEDRICH,

and LESLIE BALASSA

Arteriovenous Fistulas Involving the Portal Venous System ROBERT B SMITH, III and H HARLAN STONE

F MCALLISTER,

Chylous Ascites Secondary to Incarcerated Inguinal ELISSA SANTORO and ANTHONY

and SHELDON

Hernia in an Infant SHAW

C SOMMERS

Contents

681

Decreasing Mortality and Increasing Morbidity from Acute Appendicitis KIRK K KAZARIAN, WERNER J ROEDER, and WALTER

686

Rupture of the Diaphragm after Blunt Trauma CARL H ANDRUS and JOHN H MORTON

694

Involvement

699

Surgery for Thyroid Cancer HARRY J TAMONEY,

of Peripheral Nerves in Radical Neck Dissection THOMAS R SWIFT

702

Annular

705

Surgical Approach to Insulinomas WILLIAM C McGARITY

Jr

Pancreas in the Adult H CLAY ALEXANDER

and JAMES

W BRANTLEY

709

The Risk of Splenectomy. A Review of 310 Cases ROBERT P HODAM

714

28,621 Cholecystectomies in Ohio. Results of a Survey in Ohio Hospitals Chapter, American College of Surgeons DREW J ARNOLD

718

The Surgical Aphorisms of Moses Maimonides FRED ROSNER and SUSSMAN

Dilation of the Intrahepatic Biliary Ducts in a Patient with a Choledochal RONALD E GOTS and GEORGE D ZUIDEMA

729

Acute Noncalculous Cholecystitis Associated with Severe Injury RICHARD S WEEDER, GORDON H BASHANT,

737 740

Adenocarcinoma of the Vermiform Appendix ARNOLD T BERMAN and PAUL

M JAMES,

Primary Pneumococcal Peritonitis in a Young Adult JACK A FRIEDLAND and MATTHEW Gastric Erosion from Alkali Ingestion JOHN K MESSERSMITH,

743

Angiofibroma

746

Recurrent

749

Spontaneous

by the Gallbladder

Survey Committee,

Cyst

and ROBERT

W MUIR

Jr

N HARRIS

JAMES E OGLESBY,

WILLIAM

D MAHONEY,

Clinically Indistinguishable from Carotid Body Tumor. A Possible Embryologic HAROLD J DeBLANC and PAUL CHRETIEN

and JOSEPH H BAUGH Relationship

Pulmonary Emboli after Inferior Vena Caval Clipping SUBHAS C MULLICK and H BROWNELL WHEELER Evisceration through a Suture Sinus WILLIAM J FISHER and STEPHEN

752

Jejunojejunal

754

Hypoglycemia

TOLINS

Intussusception. An Unusual Complication after Pancreatoduodenectomy CORNELIUS E SEDGWICK and JAMES K VERNON Caused by Abdominal Leiomyosarcoma DONALD W MILLER, Jr, CHARLES

F STEWART,

758

Spontaneous

Ileal Evisceration JESSE EISEN

760

Modification

of the Hill Suture in Treatment of Hiatal Hernia MILLARD S ROSENBLATT and Z C EDELSON

761

An Intragastric Retractor JAMES R HINES

762

Author Index

764

Subject Index

through the Anus due to Rectosigmoid

and ROBERT

Ohio

MUNTNER

726

733

L MERSHEIMER

E GEURKINK

and WILLIAM Rupture

ROSNER