The question of how far into the colon it is possible to introduce a soft rubber "colon tube" appears to be as yet not definitely settled. The majority of physicians in this country and in France seem to be of the opinion that the tube must be passed through the sigmoid flexure in order effectively to administer a nutrient enema. In Germany, Nothnagel1 (in 1898), Naunyn2 (1896), Boas3 (1903), and others maintained that the soft tube always coiled up in the ampulla or dilated portion of the rectum and could not be made to pass through the sigmoid. Wachmuth's4 early work in 1862 laid the foundation for the general belief that the long tube could be passed high up into the colon. Cadge4 and G. Simon5 were among the first
SOPER HW. THE COLON TUBE AND THE HIGH ENEMA. JAMA. 1909;LIII(6):426–428. doi:10.1001/jama.1909.92550060002002
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