Modified technique for administration of retention enemata in colitis.

In 1956, Truelove introduced the successful topical corticosteroid treatment for ulcerative colitis, using a modified blood transfusion set. To simplify the technique Matts (1960) introduced disposable plastic enema bags. We have extensively used both these methods. The modified blood transfusion set is better suited to inpatient than to out-patient treatment. The disposable bags, while simpler, have several disadvantages. The plastic nozzle with a terminal hole can be uncomfortable to introduce; some patients find the bag difficult to manipulate and empty; the ready-made solution is bulky; the concentration of steroid is fixed; and the expense of the treatment is considerable. We have tried to overcome some of these disadvantages.