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OBSERVATIONS OF NORMAL ANIMALS AND OF ANIMALS WITH EXPERIMENTAL PERITONITIS

L. M. ZIMMERMAN, M.D.; R. FRANK, M.D.; H. NECHELES, M.D., Ph.D.

Arch Surg. 1936;33(2):187-196.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The extensive literature on the treatment of paralytic ileus and the constantly increasing number of methods for inducing intestinal motility indicate the lack of a satisfactory therapy for intestinal atonia. Recent attention has been directed toward acetylcholine and its probable function as the chemical mediator of parasympathetic nerve impulses. As such, it has been considered as an agent initiating gastro-intestinal motility, and attempts have been made to treat both experimental and clinical paralytic ileus with this preparation. It has been shown, however, that acetylcholine has an extremely evanescent action and that it is rapidly destroyed in the body by a specific ferment (esterase) which splits the ester into acetic acid and relatively inactive choline.

Physostigmine salicylate in extremely high dilutions has been found to inhibit the action of the esterase and greatly to augment and prolong the action of acetylcholine. These facts have not been applied clinically in the use . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Laboratory of Gastro-Intestinal Diseases, Department of Physiology, Michael Reese Hospital.

Footnotes
Aided by the Louis L. Cohn and H. Levy funds to the Stomach Group.

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