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A new device for feeding infants during fluoroscopy
Volume 80 Number 2
horn, A.: The clinical picture of Hodgkin's disease, Cancer Res. 26: 1047, 1966. 4. Newell, G. R.: Age differences in the histology of Hodgkin's disease, Ji Natl. Cancer Inst. 45: 311, 1970. 5. Fraumeni, J. F., and Li, F. P.: Hodgkin's
Brie[ clinical and laboratory observations
29 1
disease in childhood: an epidemiologic study, J. Natl. Cancer Inst. 42: 681, 1969. 6. DeVore, J. W., and Doan, C. A.: Studies in Hodgkin's syndrome. XII. Hereditary and epidemiologic aspects, Ann. Intern. Med. 47: 300, 1957.
A new device for feeding infants a, i,g fl, o o, opy Melvin H. Becker, M.D., and Nancy B.
Genieser, M.D., N e w York, N. Y.
F E E D I N O an infant under fluoroscope with a regular bottle and nipple is cumbersome and often obscures the anatomy that the radiologist wishes to observe. T o improve visualization of the swallowing act during fluoroscopy, a new feeding device (Figs. 1 and 2) has been assembled. This device has advantages over those previously described 13 in that the infant is fed from the nipple that he is accustomed to and does so by sucking mechanism. The device can be rapidly assembled in the radiology department or in the cardiac catheterization laboratory. The type of nipple that the infant normally uses is slipped over a soft plastic straw (Sittup 4 with the floating ball removed) which in turn is attached to a plastic extension tube s, 6 of the type used for intravenous administration. A 50 c.c. syringe is then attached to the adaptor of the plastic tubing. Just prior to performing an examination of the upper gastrointestinal tract, the syringe and tubing are filled with the barium suspension or other liquid that one may wish to feed the infant. The nipple is t h e n inserted into the infant's mouth and ~toosety taped or tied into place. Most infants accept this maneuver without difficulty and suck norFrom New York University Medical Center. Rdp[~nt add ..... 560 First A .... New York, N. Y.
Fig. 1. The component parts of the device unassembled with two different types of extension tubing having different shutoff controls. really. The speed with which the fluid enters the mouth can be controlled by allowing the plunger to move with the emptying of the syringe, by retarding the plunger if it moves too rapidly, or by exerting slight pressure on the plunger if the infant is feeding too slowly. At times it may be necessary to enlarg e the nipple holes by puncturing the end of the nipple several times with a 19 gauge needle to accomodate the viscosity o f the fluid used. When fluoroscoping a patient, this device permits feeding and visualization
29 2
Brief clinical and laboratory observations
The ]ournal of Pediatrics February 1972
of the m o u t h and pharynx without the need for the hands of attendants to be placed under the fluoroscope. It is possible to clamp the t u N n g so that feeding can be stopped. SUMMARY
A rapidly assembled device is described for use in feeding infants during fluoroscopy. It permits controlled feeding of the infant without the need for anyone to put their hands under a fluoroscope. REFERENCES
Fig. 2. The assembled device ready for use.
Infancy-onset cliabetes mellitus and multiple
epiphyseal dyyplasia Carol D e t t m a n W o l c o t t , M.D., and M a r v i n L. Rallison, M.D.,* Salt Lake City, Utah
From the Department of Pediatrics, University of Utah Medical Center. Supported in part by a grant from The Kror Foundation. *Reprint address: Department o~ Pediatrics University o] Utah Medical Center, 50 N. Medical Dr., Salt Lake City, Utah 84112.
1. Forster, A.: Die Spezialflasche und ihre Anundung bei der Rontgendurchleuchtung, Ann. Radiol. 11: 442, 1968. 2. Giedion, A.: Pacifier nipple (dummy) in pediatric radiology. A. Remote control pacifier. B. Radiological identification .of pacifiers as a cause of intestinal obstruction, Ann. Radiol. 11: 437, 1968. 3. Pozanski, A.: A simple device for administering barium to infants, Radiology 93: 1106, 1969. 4. Sittup Baby Bottle Insert: Noair Manufacturing Co., Inc., Farrningdale, N. Y. 5. Flexitron Anesthesia Extension Set R 33A: Travenol Laboratories, Inc., Morton Grove, Ill. 6. Venotube 30": Abbott Laboratories, North Chicago, Ill.
W E I~ A v ~. recently studied a family with three children who had onset of diabetes mellitus in early infancy; multiple epiphyseal dysplasia and abnormalties of the teeth and skin were also observed. T h e association of multiple epiphyseal dysplasia with infancyonset diabetes mellitus has never been reported to our knowledge and suggested to us that we might be dealing with a new familial syndrome. CASE REPORTS
Case 1. Patient J. S. S., a boy, was hospitalized at 8 weeks of age with the history of frequent urination of 2 weeks' duration. The infant's urine showed 4+ glucosuria. The blood sugar concentration was 500 rag. per 100 ml. The diabetes was stabilized with 10 units of Lente insulin daily. Later hospitalizations were required for treatment of hypoglycemia, diabetic
horn, A.: The clinical picture of Hodgkin's disease, Cancer Res. 26: 1047, 1966. 4. Newell, G. R.: Age differences in the histology of Hodgkin's disease, Ji Natl. Cancer Inst. 45: 311, 1970. 5. Fraumeni, J. F., and Li, F. P.: Hodgkin's
Brie[ clinical and laboratory observations
29 1
disease in childhood: an epidemiologic study, J. Natl. Cancer Inst. 42: 681, 1969. 6. DeVore, J. W., and Doan, C. A.: Studies in Hodgkin's syndrome. XII. Hereditary and epidemiologic aspects, Ann. Intern. Med. 47: 300, 1957.
A new device for feeding infants a, i,g fl, o o, opy Melvin H. Becker, M.D., and Nancy B.
Genieser, M.D., N e w York, N. Y.
F E E D I N O an infant under fluoroscope with a regular bottle and nipple is cumbersome and often obscures the anatomy that the radiologist wishes to observe. T o improve visualization of the swallowing act during fluoroscopy, a new feeding device (Figs. 1 and 2) has been assembled. This device has advantages over those previously described 13 in that the infant is fed from the nipple that he is accustomed to and does so by sucking mechanism. The device can be rapidly assembled in the radiology department or in the cardiac catheterization laboratory. The type of nipple that the infant normally uses is slipped over a soft plastic straw (Sittup 4 with the floating ball removed) which in turn is attached to a plastic extension tube s, 6 of the type used for intravenous administration. A 50 c.c. syringe is then attached to the adaptor of the plastic tubing. Just prior to performing an examination of the upper gastrointestinal tract, the syringe and tubing are filled with the barium suspension or other liquid that one may wish to feed the infant. The nipple is t h e n inserted into the infant's mouth and ~toosety taped or tied into place. Most infants accept this maneuver without difficulty and suck norFrom New York University Medical Center. Rdp[~nt add ..... 560 First A .... New York, N. Y.
Fig. 1. The component parts of the device unassembled with two different types of extension tubing having different shutoff controls. really. The speed with which the fluid enters the mouth can be controlled by allowing the plunger to move with the emptying of the syringe, by retarding the plunger if it moves too rapidly, or by exerting slight pressure on the plunger if the infant is feeding too slowly. At times it may be necessary to enlarg e the nipple holes by puncturing the end of the nipple several times with a 19 gauge needle to accomodate the viscosity o f the fluid used. When fluoroscoping a patient, this device permits feeding and visualization
29 2
Brief clinical and laboratory observations
The ]ournal of Pediatrics February 1972
of the m o u t h and pharynx without the need for the hands of attendants to be placed under the fluoroscope. It is possible to clamp the t u N n g so that feeding can be stopped. SUMMARY
A rapidly assembled device is described for use in feeding infants during fluoroscopy. It permits controlled feeding of the infant without the need for anyone to put their hands under a fluoroscope. REFERENCES
Fig. 2. The assembled device ready for use.
Infancy-onset cliabetes mellitus and multiple
epiphyseal dyyplasia Carol D e t t m a n W o l c o t t , M.D., and M a r v i n L. Rallison, M.D.,* Salt Lake City, Utah
From the Department of Pediatrics, University of Utah Medical Center. Supported in part by a grant from The Kror Foundation. *Reprint address: Department o~ Pediatrics University o] Utah Medical Center, 50 N. Medical Dr., Salt Lake City, Utah 84112.
1. Forster, A.: Die Spezialflasche und ihre Anundung bei der Rontgendurchleuchtung, Ann. Radiol. 11: 442, 1968. 2. Giedion, A.: Pacifier nipple (dummy) in pediatric radiology. A. Remote control pacifier. B. Radiological identification .of pacifiers as a cause of intestinal obstruction, Ann. Radiol. 11: 437, 1968. 3. Pozanski, A.: A simple device for administering barium to infants, Radiology 93: 1106, 1969. 4. Sittup Baby Bottle Insert: Noair Manufacturing Co., Inc., Farrningdale, N. Y. 5. Flexitron Anesthesia Extension Set R 33A: Travenol Laboratories, Inc., Morton Grove, Ill. 6. Venotube 30": Abbott Laboratories, North Chicago, Ill.
W E I~ A v ~. recently studied a family with three children who had onset of diabetes mellitus in early infancy; multiple epiphyseal dysplasia and abnormalties of the teeth and skin were also observed. T h e association of multiple epiphyseal dysplasia with infancyonset diabetes mellitus has never been reported to our knowledge and suggested to us that we might be dealing with a new familial syndrome. CASE REPORTS
Case 1. Patient J. S. S., a boy, was hospitalized at 8 weeks of age with the history of frequent urination of 2 weeks' duration. The infant's urine showed 4+ glucosuria. The blood sugar concentration was 500 rag. per 100 ml. The diabetes was stabilized with 10 units of Lente insulin daily. Later hospitalizations were required for treatment of hypoglycemia, diabetic