Rectal Absorption in Childhood
RECTAL ABSORPTION IN CHILDHOOD by JOHN WILLIAM ALEXANDER MACKENZIE, M.B., Ch. THESIS SUBMITTED FOR DEGREE OF M.D. UNIVERSITY OF GLASGOW ProQuest Number: 13849818 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a com plete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 13849818 Published by ProQuest LLC(2019). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States C ode Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 (i) CONTENTS Page Preface, ..« «». ••• ••• (ii) Introduction, ... ... ... 1. The Origins of Rectal Therapy, ... 1. The Present Position, ... ... 6. Investigation: A. The Absorption of Glucose, ... 11. Blood Sugar Studies, ... ... 15. The Glucose Content of the Rectal Washout. 18. The Effect of the Glucose Enema on Nitrogen Metabolism, ... ... 19. B. The Absorption of Sodium Chloride, ... 35. C. The Absorption of Predigested Protein, 41. D. The Absorption of Drugs, ... ... 53. 1. Potassium Bromide, ... ... 55. 2. Sodium Salicylate, ... ... 58. 3. Sulphanilamide, ... ... 65. Discussion. The Range of Substances Absorbed, ... 73. The Path of Absorption, ... ... 76. The Quantity Given, ... ... 80. General Conclusion, ... ... ... 84. General Summary, ... ... ... 86. APPENDIX. 1. Solutions used for Rectal Infusion, 87. 2. Biochemical Methods, ... 89. 3. Bibliography, ... ... 94. (ii) PREFACE The work for this thesis was carried out in the wards and biochemical laboratory of the Royal Hospital for Sick Children, Glasgow.
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