SOCIETIES, PROGRAMS AND PROCEEDINGS

offer selections of foods which readily are available in most communities, are economical and are palatable. "Instruction Sheets" for patients' use are refreshingly simple in that they state definitely what patients may have and what not, thus affording those employing them such choices as may suit the purse, residence or social condition. Faddism and the exhibition of "queer," "patented," "foreign," expensive or difficult-to-secure foods rarely. Whether patients remain for treatment at Rochester or, after being set on the proper trail, they continue dietotherapy at home, the very sensible instruction-sheets presented by Sister Mary Victor, if adhered to, cannot fail to prove helpful. The Author is to be congratulated upon her accur-

203

ate, intelligent and painstaking work. Without reservations, her book is recommended to dietitions in hospitals and sanitaria as the most useful compendium of its type yet published. No institution which assumes to exhibit modern dietotherapy can claim completeness unless it has available for daily use Sister Mary Vietor's book. Nurses' Training Schools, nurses and physicians in practice will find the work invaluable. The volume is attractively printed and substantially bound. Evidently it is printed privately, inasmuch as it carries no publisher's imprint other than "St. Mary's Hospital, Rochester, Minn." Presumable the book can be purchased (price not stated) by direct application to the Hospital which sponsors it. Frank Smithies.

SECTION XI--Societies, Programs and Proceedings F I N A L PROGRAM OF T H E T H I R T Y - E I G H T H ANNUAL M E E T I N G OF T H E

American Gastro-EnterologicalAssociation To be held at ATLANTIC CITY MONDAY AND TUESDAY, J U N E 10 AND 11, 1935 H E A D Q U A R T E R S AND ALL SESSIONS AT H O T E L TRAYMORE

MONDAY, J U N E 10, 1935 MORNING SESSION, 9:00 A. M.

3.

"Gastro-intestinal Manifestations of Hyperinsulinism." Dr. Seale Harris, Birmingham, Alabama. DISCUSSION to be opened by Dr. Julius Friedenwald, Baltimore, Md. Dr. Frank Smithies, Chicago, Ill.

4.

"Present Conceptions of Calcium Metabolism." Dr. David L. Thomson, (by invitation), Montreal, Canada. DISCUSSION to be opened by Dr. Lay Martin, Baltimore, Md. Dr. A. C. Ivy, Chicago, Ill. 11:30 A. M.

5.

T H E ALVAREZ L E C T U R E - - ( F o u n d e d in 1928 by Dr. Frank Smithies). Dr. Lewellys F. Barker, Baltimore, Md. LUNCHEON

Memorial Address on Dr. Albert Bernheim Dr. David Riesman, Philadelphia. Presidential Address Dr. B. B. Vincent Lyon, Philadelphia. 1.

2.

"Studies on Crystalline Vitamin B--Observations in Diabetes." Dr. Martin G. Vorhaus, New York, N. Y. R. R. Williams, M.S. (by invitation), New York, N. Y. R. E. Waterman, B.S. (by invitation), New York, N. Y. DISCUSSION to be opened by Dr. Joseph T. Beardwood, Jr., (by invitation), Philadelphia, Pa. Dr. J. Earl Thomas, Philadelphia, Pa. "Influence on Carbohydrate Metabolism of Experimentally Induced Hepatic Changes." Dr. T. L. Althausen, San Francisco, Calif. B. Blomquist, M.A., (by invitation), San Francisco, Calif. DISCUSSION to be opened by Dr. Arnold R. Rich, (by invitation, Baltimore, Md. Dr, Frank C. Mann, Rochester, Minn.

AFTERNOON SESSION 2P.M.

6.

"Abdominal Pain as a Misleading Symptom of Spinal Cord Lesions." Dr. Everett D. Kiefer, Boston, Mass. DISCUSSION to be opened by Dr. Howard F. Shattuck, New York, N. Y.

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AMERICAN JOURNAL OF DIGESTIVE DISEASES AND NUTRITION DISCUSSION to be opened by Dr. Richard Lewisohn, New York, N. Y. Dr. Charles Gordon Heyd, New York, N. Y.

Dr. Gilbert Horrax, (by invitation), Boston, Mass. 7.

8.

9.

10.

"Experimental Studies of Chronic Visceral Infection in Relation to Gastro-Enterological Probferns." Dr. Martin E. Rehfuss, Philadelphia, Pa. Dr. Guy M. Nelson, (by invitation), Philadelphia, Pa. DISCUSSION to be opened by Dr. Ernest H. Gaither, Baltimore, Md. Dr. W. L. Palmer, Chicago, Ill. "The Present Status of Colon Bacillus Vaccine Therapy." Dr. John G. Mateer, Detroit, Michigan. Dr. James I. Baltz, Dr. James Fitzgerald and Dr. Harris L. Woodburne, (by invitation), Detroit. Michigan. DTSCUSS~ON to be opened by Dr. Sara M. Jordan, Boston, Mass. Dr. Leon Schiff, Cincinnati, Ohio.

12.

13.

14.

"Observations on Ulcerations.Adjacent to Experimental Gastric Pouches in Dogs--a Preliminary Communication." Dr. Asher Winkelstein, New York, N. Y. DISCUSSION to be opened by Dr. A. C. Ivy, Chicago, Ill. Dr. Boris P. Babkin, Montreal, Canada.

15.

"Gastroscopy with a Flexible Gastroscope." Dr. Rudolf Schindler, (by invitation), Chicago, Ill. DISCUSSION to be opened by Dr. Chevalier Jackson, (by invitation), Philadelphia. Pa. Dr. William A. Swalm, Philadelphia, Pa.

16.

"Gastric Syphilis." Dr. Clement R. Jones, Pittsburgh, Pa. DISCUSSION to be opened by Dr. H. L. Bockus, Philadelphia. Pa. Dr. Albert F. R. Andresen, Brooklyn, N. Y.

"Serum Lipase: Its Diagnostic Value." Dr. Mandred W. Comfort, Rochester, Minn. DISCUSSION to be opened bv Dr. Daniel N. Silverman, New Orleans, La. Dr. Arthur C. Clasen, Kansas City, Mo. "Report of Enzyme Committee." Dr. Dr. Dr. Dr. Dr. Dr. Dr. Dr.

A. H. Aaron, Chairman H. L. Bockus Mandred W. Comfort Burrill B. Crohn A. C. Ivy Victor C. Myers T. L. Althausen R. H. M. Hardisty

EXECUTIVE SESSION (Associate members are requested not to attend).

LUNCHEON

ANNUAL DINNER. 7:30 P. M. HOTEL TRAYMORE, ATLANTIC CITY, N.J. Guests of Honor "Historical Review of Gastric Surgery" DR. DEAN LEWIS Professor of Surgery, Johns Hopkins University, Baltimore, Md. "Medicine in the Eighteenth Century as seen in the Pictures of William Hogarth." Dr. L. J. Austin, F.R.C.S. Professor of Surgery, Queen's University, Kingston, Ontario.

17.

"Traumas Resulting From Sigmoid Manipulations." Dr. Burrill B. Crohn, New York, N. Y. Dr. Bernard D. Rosenak, (by invitation), New York, N. Y.

AFTERNOON SESSION 1:30 P. M. "Effect of Drugs on the Isolated Colon of Man." Dr. J. A. Bareen, Rochester, Minn. Dr. J. S. Guthrie, (by invitation), Rochester, Minn. DISCUSSION to be opened by Dr. M. B. Dreyer, (by invitation), Halifax, Nova Scotia. Dr. Walter A. Bastedo, New York, N. Y.

18.

"Psychogenic Factors in Ulcerative Colitis." Dr. Albert J. Sullivan, New Haven, Conn. DISCUSSION to be opened by Dr. Chester M. Jones, Boston, Mass. Dr. George E. Daniels, (by invitation), New York, N. Y.

19.

"Obesity and Its Treatment." Dr. Walter R. Campbell, (by invitation), Toronto, Canada.

TUESDAY, JUNE 11 MORNING SESSION, 9:15 A. M. 11.

"The Cause of Faulty Digestion After Removal of the Stomach." Dr. Edward S. Emery, Jr., Boston, Mass. DISCUSSION to be opened by Dr. Franklin W. White, Boston, Mass. Dr. Leon Bloch, Chicago, Ill. "Experimental Studies in Gastric Physiology in Man. III. The Motor Function of the Operated Stomach." Dr. Harry Shay, Philadelphia, Pa. Dr. J. Gershon Cohen, (by invitation), Philadelphia, Pa. DISCUSSION to be opened by Dr. John P. Quigley, Cleveland, Ohio. Dr. M. J. Wilson, (by invitation), Toronto, Canada.

DISCUSSION to be opened by

TIDMARSH--AN UNUSUAL CASEOF PRIMARY ACTINOMYCOSIS

Dr. Matthew Walzer, (by invitation), Brooklyn, N. Y. 2. "Treatment of Bleeding Peptic Ulcer---An Experimental and Clinical Study." Dr. Benjamin M. Bernstein, (by invitation), Brooklyn, N. Y. 3. "Personality Study in Cardiospasm: The Meaning of the Disorder From the Standpoint of Behavior." Dr. Edward Weiss, (by invitation), Philadelphia, Pa. 4. "The Levulose Tolerance Test." Dr. Stockton Kimball, Buffalo, N. Y. Roger S. Hubbard, Ph.D., (by invitation), Buffalo, N. Y. THE MEDICAL PROFESSION IS CORDIALLY INVITED

Dr. Mauriee L. Tainter, (by invitation), San Francisco, Calif. Dr. Arthur F. Chace, New York, N. Y. 20.

"Experiences With Postoperative Jejunal Ulcer and Gastrojejunocolic Fistula." Dr. Frank H. Lahey, Boston, Mass. DISCUSSION to be opened by Dr. Paul W. Aschner, New York, N. Y. Dr. L. J. Austin, F.R.C.S., (by invitation), Kingston, Ontario. T o B E READ B Y T I T L E

1.

"The Absorption of Unaltered Protein from the Normal and Abnormal Gastro-Intestinal Tract," Dr. Irving Gray, Brooklyn, N. Y,

SECTION XII--" The Clinic" An Unusual Case of Primary Actinomycosis Involving the Mesentery oF the Small Intestine* By C. J. TIDMARSH, M.A., M.D., F.R.C.P.(C). BOSTON, MASSACHUSETTS

A

REVIEW o f the literature for the past ten years, including the 670 cases reported by Sanford and Voelker in 1925, reveals the fact that primary actinomycosis of the mesentery must be extremely rare. Sanford and Voelker do not mention a single case where the mesentery primarily was involved. In regard to the mode of infection, most authors agree that very often spore forms from vegeation are introduced into the soft tissues as a result of injury by a foreign body. In the case reported below, it is interesting to note that at operation Dr. Lahey remarked that the finding indicated perforation of the small intestine by a foreign body, and on questioning the patient later she distinctly remembers having choked on a fish bone several weeks prior to the onset of her present illness. *From the Department of Gastro-Enterology, Lahey Clinic, Boston, Mass. Submitted March 25, 1935.

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Fig. 1. Actinomycotic colonies embedded in inflammatory tissue of mesentery. Note typical ray formation. X175,