STUDIES ON INTESTINAL GAS THAT HINDERS ROENTGEN DIAGNOSIS

PART I CLINICAL STUDIES

Abstract

Simple roentgen films of the kidney, urinary tract and urinary bladder of 191 out-patients were chosen at random from those of the out-patients who have visited our hospital in the recent one year. The distribution of intestinal gas was classified into 12 categories according to its region.
The following drugs, together with pretreatmen, with pretreatment, were given to 8 hospitalized cases including patients with nephrolithiasis prior to roentgenography. Roentgenographys before and after administration of the drugs were compared in order to observe an increase or a decrease of intestinal gas. The drugs employed were homosulfamine, sulfathiazole, sulfaguanidine, sulfamethylthiazole, streptomycin, carbo animalis and restamine. The administration of the drugs were started 24 hours before roentgennography. Streptomycin was given intramuscularly to the patients by injection and other drugs were administered orally in divided doses. Pretreatment consisted of administering 30g. of ricin the previous night and performing high pressure enema the next day to remove the intestinal content as much as possible. Administration of homosulfamine and streptomycin brought about a remarkable decrease of gas in this order. On the contrary, an extraordinary increase of gas was caused by restamine. Almost no effect of the other drugs upon intestinal gas was noticed.