PHYSIOLOGIC IMPLANTATION OF THE SEVERED URETER OR COMMON BILE-DUCT INTO THE INTESTINE

Abstract

At the 1909 meeting of the Southern Surgical and Gynecological Association at Hot Springs, Va., I reported a series of experiments on dogs in which various sections of the pancreas had been made and the remaining pancreas had been implanted into the intestine. In the operation for the removal of the head of the pancreas, it was found necessary to transplant the common bile-duct into the intestine lower down, also to connect the stomach with the intestine lower down; and later the pancreatic implantation was done. In these operations of pancreatectomy and duodenectomy we found it necessary to operate in two stages. After the first operation the common bile-duct was cut off and implanted into the duodenum well below the opening of the pancreatic duct. This was done by direct implantation, using a method similar to one described by Dr. W. J. Mayo some years ago. Gastrojejunostomy was done at