Virginia medical semi-monthly . fordoing G-ants cecostomy, two pieces of catheter,one for the cecum, and one for the ileum, maybe substituted for the irrigator, in which caseit is necessary first to introduce a Gantscatheter-carrier. Gant has obtained some wonderful resultsin the treatment of anemia by means of smalland large intestinal irrigations, and is satisfiedthat, attacks of typhoid fever could be shortenedand made less severe by this operation, andpatients suffering from ptomaine poisoningand cholera could likewise be benefited. While it has been chiefly for cases of ulcera-tion of the


Virginia medical semi-monthly . fordoing G-ants cecostomy, two pieces of catheter,one for the cecum, and one for the ileum, maybe substituted for the irrigator, in which caseit is necessary first to introduce a Gantscatheter-carrier. Gant has obtained some wonderful resultsin the treatment of anemia by means of smalland large intestinal irrigations, and is satisfiedthat, attacks of typhoid fever could be shortenedand made less severe by this operation, andpatients suffering from ptomaine poisoningand cholera could likewise be benefited. While it has been chiefly for cases of ulcera-tion of the colon that the above procedures havebeen recommended, yet their usefulness hasbeen extended to a variety of other conditions,especially since the cecostomy opening has also •Remarks.—In order to avoid the danger of infectingihe wound, irrigation is not begun until the secondday, unless there is some special reason for greaterhaste. been made to serve the purpose for irrigatingthe small intestine; namely, chronic constipa-. Fig. 3. Steps showing Gants cecostomv, whichprovides for irrigation of both the small and lar°-eintestine. 1. Shows apparatus in position. 2 Sideview of Gants entero-cecal irrigator. 3. Front andsectional view of the same. (a) Irrigating tube-(b) inflating attachment; (c) clip for enclosing same;(d) shows inflating bag disfended with air to pre-vent return of solution into the cecum; (e) coverfor irrigator. The celluloid rod shown on the rightof (2) is used as a guide for removing and re-introduction of the irrigator when it becomes neces-sary to change the inflating has. tion, pernicious anemia, genera] peritonitis, torelieve distension and to allow fluids to be in-troduced, as in Murphys proctoclysis afterintestinal resection, to avoid tension on thesutures for the relief of intestinal obstruction,autointoxication, intestinal feeding and diar-rhea in children. It is now generally conceded after carefuland prolonged observation of cases of amebiculcera


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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectmedicine