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To the Editor:
—I note the interesting communication of Dr. H. T. Summersgill (The Journal, July 12, p. 139), regarding the use of barium sulphate and malted milk. in gastro-intestinal roentgenography. I have also noticed the condition in several instances. It is true, however, that I have not noticed the extremely severe after-effects which Dr. Summersgill has reported. In the cases I have observed, there was a marked gastric distention, which was followed by nausea and belching, and, in one case, by vomiting. This was followed by severe diarrhea, which lasted about twenty-four hours.Later, I tried giving another barium meal to two of these patients. In one case, I used buttermilk as the base; and in the other, a mucilage of acacia formula. There was absolutely no difficulty experienced following these mixtures. Since then I have not attempted the use of malted milk in those cases which exhibit emaciation,
Levey SA. BARIUM MEAL IN ROENTGENOLOGY. JAMA. 1924;83(4):289. doi:10.1001/jama.1924.02660040059036
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