Evening star. [volume] (Washington, D.C.) 1854-1972, 1956-06-10

q. VIII it ever have to come
out, sir?
DR.. Heaton-We do not be-
lieve SO. It Is the considered
opinion Of the surgeons at. the
table. and also some leading
Observation-Disclosures of this coun-
try. that this procedure is ade-
lquate.
@. Doctor, could you trace in
red the-what the original walls
Of the small and large intestine
were before you made the vent?
CDR. Heaton did SOL
@. What is the advantage of
leaving it in? l should think it
would be just a troublemaker.
DR.. Heaton-What?
Q. She asked what advantage
there was to leaving It in?
DR.. Heaton-Because, as I pre-
viously stated, it has been found
that, particularly in this age
group. the over-age group, this
segment, when left in, will not
cause trouble.
@. Doctor, what caused the dis
ease in the diseased ten inches,
do you know?
DR.. Heaton-The origin, as I
mentioned in the first report, is
unknown.
@. Doctor, what did it look like
acknowledgements what?
DR.. Heaton-It was markedly
contracted. inflamed, and had
the consistency Of a hard rubber
hose.
@. Doctor, would you point to-
that, please?
DR.. Heaton-That is this area
here (indicating).
4 @. Doctor. were there any in
dications of earlier attacks Of
this disease?
DR.. Heaton-As we saw here at
the time?
@. Previous to this examina-
tiOn and Operation-before the
operation?
@. Had the President ever had
an attack of ileitis before, that
you know of?
DR.. Heaton-Dr. Snyder will
ANSWER that question later.
/ @. Was the obstruction caused
by the contraction or by some
object or growth?
DR.. Heaton-The obstruction
was caused by the contraction
of this bowel (indicating) y
Through oedemia and inflamma-
tion-.
@. What is Oedemia?
DR.. Heaton-It is the watery
swelling process of inflamma-
tion, compromising the opening
through this bowel to very mar
row passage.
}, @. Doctor, in order that we
laymen don't make a mistake,
going back, did you say leading
Observation-Disclosures?
DR.. Heaton: That's right.
@. Is there any indication that
the Presidents earlier operation
his appendectOmy, might have
had some effect on the present
condition?
DR.. Heaton-No, sir, it is not.
@. Doctor, is there any indica-
ton that a circulatOry difficulty
could have led to the inflamma-
ton of the iIeum?
1 DR.. Heaton-We do not believe
so.
@. Are you having tests in that
respect now, sir, with the tissue
take any tissue out, even
though you left the ileum in?
DR.. Heaton-We took no It's
sue for examination.
q. Doctor, can you tell me,
this portion that was bypassed,
was inflamed and was afflicted
by this disease-when you by
pass it? Does that, at that
point, guarantee that that in
famed portion - you cannot
spread the disease further up
the lining of the canal? What
happens? Does it atrOphy, or
what happens, do you know?
DR.. Heaton-You are using a
term that we can throw right
back = atrophy of disuse; in
: other words, a subsistence of the
: Inflammation by not being put
in use by nature; in other words
we presume that nature will use
this vent through here (indi-
cating)-and not through here
) we couldn't use this vent any,
: way because of obstruction over
this whole length here, you see.
And nature, now that she is
using this vent, this will not be
used, and we look for a subsi-
dence Of the inflammatory ac-
J ton.
@. There is no effect on the
digestive process, no loss Of di-
: gestive capacity?
DR.. Heaton-YeS there is, in
this respect. The right colon
this is the right side Of the large
intestine indicating) - is the
Iabsorptive side-absorbs water.
For the time being, until the new
part here-the new opening
becomes in use, nature will take
over and transfer this watery
Iabsorptive mechanism of the
! right large intestine to this part
through here (indicating) COM
lpensatory.
@. Yes. The question that
really am getting at is, is there a
permanent loss In any way Of
the digestive
DR.. Heaton-None whatsoever.
None whatsoever.
@. Do. You know how large is
that vent you spoke Of? How
large an opening is the vent or
bypass?
DR.. MISUNDERSTANDING made
) it about four centimeters.
@. If / understood you cor
rectly, in your statement you said
that iIeitis was Of unknown ORR
gin. But ileitis, Is II not true, Is
mot necessarily accOmDanied with