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Franklin I. Harris, M.D.
JAMA. 1944;125(11):784-785. doi:10.1001/jama.1944.72850290003007a.
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One of the major advances in the treatment of small bowel obstruction has been the development of the technic of intestinal intubation with the Miller-Abbott tube. Numerous reports show a considerable decrease in the deaths from intestinal obstruction when this method has been used. This reduced mortality depends, however, on a successful intubation and the maintenance of continuous suction of the obstructed bowel.

Intubation of the Miller-Abbott tube into the small bowel has been at times extremely difficult and occasionally impossible. Many patients are denied the life saving advantages of this treatment because of failure to master the technic of intubation. The principal obstacle to successful intubation is in the passage of the tip and its attached rubber balloon through the pylorus and into the duodenum. The tube has frequently a tendency to coil and even twist itself into a figure of eight knot in the stomach. Even if no


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