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May 14, 1949

CONTINUOUS SUCTION DRAINAGEA Historical Evaluation of Intestinal Obstruction

Author Affiliations

From the Department of Surgery, University of Buffalo and The Buffalo General Hospital.

JAMA. 1949;140(2):149-151. doi:10.1001/jama.1949.02900370017006

In August 1931 Wangensteen first employed the principle of continuous suction transmitted through a duodenal tube as an effective means of treatment in certain cases of intestinal obstruction involving the small bowel. In a historical sense this procedure was the natural evolution of the use of duodenal tubes in the diagnosis and treatment of various diseases affecting the gastrointestinal tract. It should be remembered that the duodenal tube, in contrast to the stomach tube, was entirely an American development and was the direct result of the desire of clinicians to obtain samples of duodenal contents for diagnostic purposes.

In the wake of the work and experiments of such men as Turck,1 Hemmeter2 and Kuhn3 during the last decade of the nineteenth century, Gross4 and Einhorn5 of New York, independently and almost simultaneously, presented to the medical profession simple practical duodenal tubes which could be passed

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