New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1914-04-15
pERILS OF CANCER
CITED BY SURGEONS
1moortance of "Side Track
mo" for Duodenal Ulcer
Emphasized.
caIISE OF GROWTHS
STILL UNSOLVED
rudlIpht Zone" Said to Hinder
Treatment-Wives Dine and
See "Peter Pan

danger Of cancerous growths IN
- .+or,sch and intestines, resulting
r,c.rs and other irrltations. was
sv.s upon yesterday by Or. William j.
49, AZ Rochester, and other surgeons
:, ,,s continuation OF the fourth annual
s.-s-sss OF the International surgical
,s.oclstion at the Hotel Aston.
e. ,-sctically the first time since the
,,.rstion was known, however. the prac-
~. q, castro enterostomy-the operation
=, "side-tracking" the stomach by con-
,..,,ng the upper food passages with
IS. ,ntsstines-was emphasized In dis
,uss,on Of stomach operations. The I'M
,or,ance OF this method was fully real
,,ss when DR.. Mayo, Dr.. F. de Quer-
..I, n, Basic. Switzerland DR.. Henry
u.,t-nsnn and Dr. L. Lecene, OF Paris,
ana DR.. Z. Payr. OF Leipsic, Germany
,..a their papers on gastric and duode-
nal ulcer
with the elimination Of the technical
,srms. the danger OF the mysterious dis
ease OF cancer Of the stomach was often
,snoyed. IL was said. when the upper
on.njng 10 the stomach was connected
directly with the upper intestines and the
stomach "sldetracked' until 1t had a
chance 10 heal.
Because Of the menace of cancer said
pr Mayo. all ulcers OF the stomach,
without regard to their situation, should
Be excised II possible. As rule. CASTRO
,eiuneostony (the placing Of the upper
mart OF the intestine in position to receive
the food from the new opening TO the
stomach should be done in addition 70
the e1esion.
The apparent simplicity Of this treat
ment vas driven away by his words when
he added that the surgeon is confronted
With a difficult condition at the start In
any consideration Of gastric or duodenai
ulcers by the fact that so little Is known
Of their cause
Dr.. Mayor rather mystlhed his hearers
BY saying that "the large number OF sup
posed stomach or intestinal ulcers In wom-
en- was simply due TO pyloric spasms'
and then whimsically adding, whatever
they may be-" Pyloric ulcers, he natu-
rally did not think necessary 10 explain,
are those occurring on the pylorus, the
connection between the lower end or the
esophagus and the mouth Of the stomach.
The same twilight zone" Of cancer
which has hindered the efforts 10 find a
positive method OF successful treatment
for that malignant growth somewhat
exists in the case Of the simpler form
Of tissue trouble known as ulcer.
Dr.. Psyr gave the two principal theo-
res OF their beginnings-one that they
are caused by LESSONS (breaks in the It's
sue) or ore due 20 some nervous strain.
But he added that neither OF these theo-
res Is sufficient 70 explain every case,
and many points IN gastro-duodenal bio
logical chemistry arc still unexplained. -
d. Howard Lilienthal, OF New York,
favored double operation in the re
moval Of uloer-bearing tissues OF the
s'omseh-the second when the patient
rad recovered strength after the first.
me visiting surgeons prefaced their
. Va '4'o poPSi0 VII "iN''" ~
Nsts 10 the clinics OF ST. Luke's, Pres
'NeHan and New York hospitals TO OBJ
s'Te everyday methods Of hospital prac-
tee.
N's William J Mayo. wife Of the sur
se'h' gave luncheon at noon at the
motel biltmore 20 $50 Of the wives and
oNsr members 81 the families Of the sur
esons, and afterward there was spe-
0el Performance Of peter Pan" which
nearly all attended.
III we evening the surgeons from other
eV-nuies and their wives we're the
s'ss's o. the American Surgical Assocls-
'' al special performance at she
metropolitan opera House.