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November 1923


Author Affiliations

Associate Visiting Physician and Bacteriologist, Lenox Hill Hospital. NEW YORK

From the laboratory and medical division of the Lenox Hill Hospital Service of Dr. J. Kaufmann.

Arch Intern Med (Chic). 1923;32(5):771-778. doi:10.1001/archinte.1923.00110230127012

The treatment of gastric diseases by duodenal alimentation attempts to put the stomach at rest from its motor activity, as well as from its secretory action. It became of interest to the writer to determine to what extent one can actually eliminate the function of the gastric epithelia. With this object in view, experiments by means of two duodenal tubes were begun on July 7, 1921, and continued to the present time. I mention this date, because recently Heller1 employed the same principle for other work.

TECHNIC  The Einhorn tube was first allowed to pass into the duodenum in the usual way. After it was definitely proved in place and duodenal alimentation had been successfully carried out, another duodenal tube was swallowed, but not allowed to pass out of the stomach. It was at times difficult to have this second tube rest at the most dependent portion of the stomach.

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