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PHILIP F. PARTINGTON, M.D.

AMA Arch Surg. 1952;65(4):532-541.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ARCHIBALD discovered that transduodenal section of the sphincter of Oddi for the removal of a stone impacted in the ampulla of Vater caused improvement in coexisting chronic pancreatitis. This led Doubilet and Mulholland to undertake sphincterotomy as a method of treatment of pancreatitis. Palliative bypass of cancer of the head of the pancreas, done for many years by anastomosis of the gall bladder to the stomach, duodenum, or jejunum, produced 15% five-year survivals in cases which Walters¹ said must be assumed to have been inflammatory. The present paper advocates such a bypass by means of a Roux-Y segment of jejunum as definitive treatment for chronic recurring pancreatitis.

Since the original work of Opie² in 1901, there have been many champions of the theory that pancreatitis is produced by a reflux of bile into the pancreatic duct as a result of a stone impacted in the ampulla of Vater. . . . [Full Text PDF of this Article]

Author Affiliations
CLEVELAND

From the Surgical Service Crile Veterans Administration Hospital, and the Department of Surgery, Western Reserve University School of Medicine.

Footnotes
Read at the Ninth Annual Meeting of the Central Surgical Association, Toronto. Canada, March 7, 1952.

Reviewed in the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are the result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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