Problems encountered in the use of aluminum hydroxide gel by naso-gastric drip in the treatment of peptic ulcer

Abstract

1. Problems in using the water drips were discussed briefly. 2. The new type drip developed, which was discussed, delivering a set amount without disturbing the system and using no valves, was proven to have distinct advantages over the other types. 3. Use of an electrical timing device for accurate delivery was proven to be more dependable, for once having been set, it needed no more adjustment. 4. A new type of Aluminum Hydroxide Gel was prepared, having distinct advantages because of lesser sedimentation, greater fluidity and slightly greater combining power. 5. Characteristics of a new preparation were discussed, and should have the consistency of Milk of Magnesia, a pH of 5.9, be a 5% suspension, and lastly have no more separation than 1.5 cc. when diluted for the drip method. 6. Retention of the naso-gastric tube and patient’s cooperation were discussed and an example is given. 7. Nursing care and its importance was discussed. 8. Constipation, fecal impaction, and intestinal obstruction were touched upon and the use of Vitamin B1, lubricants and enemas were found to be effective in combating them. 9. Coryza and sinusitis with their relation to the naso-gastric tube were mentioned briefly and an example given. 10. Use of Nylon as an obturator was thought to have greater advantage.