At General Hospital No. 41, we have treated gastric patients returned to this country from duty overseas as well as patients from among the enlisted members of the detachment. Practically all of these patients had been under dietetic treatment before reaching our ward, but the symptoms were continuing in unabated form. It occurred to us that, rather than again subject the patients to a procedure that had failed to produce improvement, we would have recourse to Einhorn's duodenal alimentation. The underlying principle appeared to be rational, that through rest of the diseased area, by completely excluding it, nature might be given the opportunity of effecting recovery. Our results with this method have been encouraging.
We modified the duodenal tube in a few details. According to its original construction by Einhorn, as also in the modifications by Gross, Palefski and Rehfuss, there is a perforated metallic attachment at one end. We