Abstract
Stimulated by a suggestion from Dr. I. S. Ravdin we have devised, for routine use during the first few days after gastric operations, a tube which makes possible alternate jejunal feeding as advised by Andresen 1 and aspiration of the stomach contents as advocated by Wangensteen and Payne. 2 Our first experience in attempting to combine these two principles in one apparatus was in a case requiring at the same time a gastrojejunostomy and a gastrostomy. A double-lumened rubber tube 3 was passed through the gastrostomy, one lumen for communication with the stomach, the other for communication with the jejunum. Though this procedure achieved its objectives it was, of course, unpractical since rarely are both operations required. Furthermore a double-lumended tube of sufficiently small size to pass through the nose could not have lumens large enough freely to transmit mucoid or bloody gastric contents. Therefore we have abandoned the use of a
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