[Skip to Content]
[Skip to Content Landing]
December 15, 1923


Author Affiliations

From the East Surgical Service, Massachusetts General Hospital.

JAMA. 1923;81(24):2032. doi:10.1001/jama.1923.26510240001012a

The use of a styletted duodenal tube has been suggested by Jutte1 and by Bondi and Eisler.2 According to Eisler's technic, a brass wire is introduced into an ordinary duodenal tube, previously oiled. Stiffened by the wire, the olive of the tube is pushed past the cardia, and guided to the antrum by palpation under the fluoroscope. This often saves many minutes in patients who find it difficult to swallow the ordinary tube, but in our experience, the time-consuming part of a duodenal intubation is persuading the olive to pass the pylorus where the wire is of little assistance.

Gastric intubation is still a much more common and useful procedure than duodenal intubation. The ordinary duodenal tube is often employed instead of the large Nélaton stomach-tube because it is less unpleasant to take; it cannot, however, be used with unconscious or uncooperative patients. A type of styletted stomach