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August 7, 1909


JAMA. 1909;LIII(6):464. doi:10.1001/jama.1909.02550060040009

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A valuable contribution to the question of the practicability of the high enema will be found in the present issue in the paper of Dr. Soper. It seems to be the belief of the majority of physicians in this country that the soft rubber tube can be passed beyond the sigmoid flexure, though this has been disputed by high authorities abroad. Dr. Soper's experiments and the skiagrams show that in many cases, perhaps in nearly all, the tube does not pass beyond the dome of the rectum and that it is only in exceptional conditions of dilatation and hypertrophy of the colon that it can be successfully introduced beyond the sigmoid flexure. If it could go further, there is still difficulty to be overcome before the injection could be carried anywhere near the cecum, as some have claimed. The splenic flexure especially would seem to be a difficult place to

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