T. GRIER MILLER, M.D.
Professor of Medicine, University of Pennsylvania
SINCE its development in 1934, intestinal intubation has been modified considerably and workers, both in our clinic and elsewhere, have accomplished by means of it many things not originally in mind.
Intestinal intubation did not originate with Dr. Abbott and me, although we made it a practical procedure by developing a double lumen tube and attaching to that an inflated balloon. The balloon made it possible for us to enter the small bowel quickly, instead of taking three or four days as had been necessary previously. It also served as a means of recording pressure changes in the tract, and at the same time the double lumen tube supplied an extra lumen through which we could make unrestricted extractions of the bowel contents.
The first person to do intestinal intubation, so far as I know, was a Netherlands physician by the name of Scheltema. In 1908 he realized the possibilities from his observation of a horse hair protruding from both ends of the alimentary tract of a chicken. He also had observed strings dangling from the anus of dogs and cats. These important observations led to the development of the technic of inserting a mercury-filled tube through the alimentary tract of the frog and taking x-ray films to show it. Dr. Scheltema then performed a like experiment in a child.
Within the following year or two Dr. Max Einhorn, of New York, developed what he called a “duodenal pump.” His objective was to secure material from the duodenum for the. . .