An abnormal small-intestinal pattern has been demonstrated by roentgenologic studies in both the tropical and non-tropical variety of sprue (1 to 3). Generalized hypomotility is observed, and the barium moves along the gut in thick, sausageshaped masses which are separated by intestinal areas, apparently in a state of spasm. Many of the bowel loops are widely dilated and often contain considerable gas. At the same time, the mucosal relief is strikingly altered in that the usual markings of the valvulae conniventes are thickened, widely separated, and, in advanced cases, completely obliterated. In an admirable review of this subject, Golden (4) has, however, reiterated the original contention of Snell and Camp (1) that the observed changes are not characteristic of sprue, but may occur in other chronic deficiency states and, at times, may appear as the result of emotional stresses.In 2 patients with sprue, whom we repeatedly intubated over a period of 8 and 13 months, respectively, the small-intestinal motor activity was studied by means of the balloon-kymograph method, described by Ingelfinger and Abbott (5). Of the 2 patients, the first would be considered to have the tropical, the second, the non-tropical vanety of sprue.CASE REPORTS Case 1. W. C., a 36-year-old man, first noticed loose stools at the age of 21, shortly after he had been purser for 6 months on a boat sailing between New York and South America. Since that time, he had suffered from intermittent bouts of weight loss, distension, cramps, and frequent bowel movements, consisting of light stools never containing blood or pus. In the year before entry to this hospital, he had been subjected to 3 ileostomies in an effort to relieve his distension and cramps.Physical examination on July 18, 1941, revealed an emaciated individual with extreme hypotonia of the entire musculature. A brown pigmentation covered the forehead, cheilosis was present, and the tongue appeared dark red and smooth. The abdomen was markedly distended and tympanitic. Both a proximal and a distal ileostomy