Rectal burn caused by hot-water coffee enema - 23/08/11
Doi : 10.1016/j.gie.2008.04.017
Hiroshi Sashiyama, MD, PhD, Yukihiro Hamahata, MD, PhD, Keigo Matsuo, MD, PhD, Kazunari Akagi, MD, PhD, Osamu Tsutsumi, MD, PhD, Yasuo Nakajima, MD, Yuko Takaishi, MD, Yasuo Takase, MD, PhD, Takehiro Arai, MD, PhD, Toshihiko Hoshino, MD, PhD, Akihiro Tazawa, MD
Division of Surgery, Toukatsu Tsujinaka Hospital, Abiko, Chiba, Japan
Kuang I. Fu, MD, PhD
Division of Internal Medicine, Toukatsu Tsujinaka Hospital, Abiko, Chiba, Japan
| Commentary What one puts into one’s rectum is only limited by one’s imagination. The earliest use of enemas or clysters is found in the Papyrus Chester Beatty VI, dating from 1305 to 1085 B.C.E., which describes the use of a variety of solutions containing oil and honey emollients, water, beer, and milk vehicles, and an assortment of medicinal agents including ox brain and various herbs. Other agents of interest have included melted fat, pearl barley, deer marrow, and turpentine, among others, used to treat a range of diseases from lethargy to epilepsy, pneumonia, and pleurisy. In more modern times, enema use has included rectal alcohol to get inebriated, tobacco enemas to resuscitate drowned persons, sulfuric acid as an abortifacient, and yogurt to treat diarrhea. President Garfield was administered nutritional enemas consisting of egg, bouillion, milk, whiskey, and opium before finally succumbing to his gunshot wound. Of the many enemata used to treat constipation in the modern era, with documented adverse effect, noteworthy are soapsuds, hydrogen peroxide, and, now, coffee. In the first century C.E., Celsus warned not to use enemas that were too hot or too cold—advice this patient should have heeded. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2008
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 68 - N° 5
P. 1008-1009 - novembre 2008 Retour au numéro
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