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April 9, 1910


JAMA. 1910;LIV(15):1204-1205. doi:10.1001/jama.1910.92550410001001k

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Proctoclysis unquestionably offers to the physician and surgeon a valuable means of relieving human suffering and aiding the vital powers to resist and overcome disease.

Of the two methods—continuous flow and drop method—of administering salt solution by way of the bowel, the drop method offers the preferable technic to the physician, and more comfort to and more ready acceptance by the patient.

These objections to the continuous flow method present themselves:

1. Many conditions of rectum, lower bowel and pelvis make pressure of a rectum full of fluid very uncomfortable to the patient and the fluid difficult to retain.

2. Many severe general conditions of patients cause a relaxed sphincter, and thus fluid escapes.

3. The regurgitation of intestinal contents into the apparatus means inconvenience and difficulty in thoroughly sterilizing it.

4. It requires a proper connection and tubing for escape of gases.

These objections are practically overcome

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