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September 2, 1899


JAMA. 1899;XXXIII(10):613. doi:10.1001/jama.1899.02450620051014

There are times and conditions amid which it is highly desirable to afford rest to the stomach, and perhaps also to the upper bowel, and to avoid the administration of food by the usual channels. Subcutaneous feeding has not proved entirely practicable and at best its field of usefulness can only be limited. The use of the lower bowel for this purpose is attended with certain wellknown recognized difficulties and it has not been extensively followed. Of late, however, numerous reports of the administration of nourishment by the rectum have found their way into literature exclusively, and Rost1 details the plan of procedure pursued successfully in Ewald's service at the Augusta Hospital of Berlin. Absolute rest in bed is required of all patients subjected to the treatment. In the morning a cleansing enema is given, after the lapse of an hour the first nutrient injection and in the course