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November 7, 1931


JAMA. 1931;97(19):1404. doi:10.1001/jama.1931.02730190060028

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To the Editor:  —In the article by Dr. Horace W. Soper in The Journal, September 12, Dr. Soper suggests treating gastric hemorrhages by introducing the duodenal tube and leaving it there, first for washing the stomach, later when the tube has reached the duodenum for feeding. I would like to mention that this method has been used by me and by some of my followers since 1910. Dr. Soper introduces the tube through the nostril; I give it usually through the mouth, which represents a more natural way.Ever since duodenal alimentation has been employed in gastric hemorrhages there has seldom been any need of blood transfusion, as the ample nutrition soon gives the organism a good chance to manufacture and replace the lost blood.I am pleased to see that Dr. Soper had good results with the tube treatment.

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