The principle of intestinal intubation by means of the double lumen suction tube or latterly by the newer single lumen mercury-weighted tubes is one of the great advances of modern therapeutics. Originally developed by Miller and Abbott1 for investigative purposes, the clinical possibilities of the double lumen tube were soon appreciated and realized.2 In intestinal obstruction, it has served as a primary therapeutic measure in selected cases and as an adjuvant measure to surgical treatment in many others. It plays an increasingly useful role when introduced preoperatively, when elective intestinal resection is anticipated.
Two problems are likely to be encountered during the introduction of the tube. The first problem relates to the difficulty of having the tube traverse the pylorus and enter the duodenum. It is a matter of common observation that the more urgent the need for the tube, the more difficult it is to accomplish this
McLANAHAN S. TEST FOR LOCATING THE POSITION OF THE TIP OF THE MILLER-ABBOTT TUBE. JAMA. 1948;136(1):35–36. doi:10.1001/jama.1948.72890180008007
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: