RT Journal
A1 REED CL
T1 CEcostomy and continuous coloclysis in general peritonitis and other conditions
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1909
FD May 22
VO LII
IS 21
SP 1659
OP 1660
DO 10.1001/jama.1909.25420470025001e
UL http://dx.doi.org/10.1001/jama.1909.25420470025001e
AB A method of treatment that I have been using, for some time, in certain cases of general peritonitis and in some other conditions, is as follows:Recognizing that general peritonitis is always the result of infection, I place the patient in the Trendelenburg position and operate in the usual way to find, and, if possible, to remove the source of infection.Whatever may be the details of that operation, I bring up the cecum and fix it in an incision made directly over its situs, open the loop thus anchored, and in the opening I insert a soft rubber catheter which I fix by a suture to the abdominal wall.I then put a self-retaining effluent tube into the rectum.Through the cecal tube I subject the colon to such treatment and usage as the then existing and subsequently changing conditions may require.Under this last heading comes, first and