When Anuses Breathe
In a twist that would make any sci-fi writer proud, researchers have been awarded the Ig Nobel Prize for discovering that mammals can breathe through their… posteriors. Yes, you read that right. While it sounds like the punchline to a cosmic joke, there’s a serious side to this cheeky revelation. The same team is now exploring how this peculiar ability might save lives by treating blocked airways or clogged lungs. Welcome to the brave new world of rectal oxygen delivery.
This unusual research emerged from the chaos of the COVID-19 pandemic, where ventilators were as rare as a unicorn in a haystack. Inspired by the loach—a fish that breathes through its backside—the team at Cincinnati Children’s Hospital Medical Center decided to see if mammals could do the same. The loach, with its capillary-rich intestines, survives in low-oxygen environments, making it the perfect muse for enteral ventilation via anus (EVA).
The Science of Rear-End Respiration
The team hypothesized that if fish could do it, why not mammals? Enter the guinea pigs of the day—mice and micro-pigs. Drawing inspiration from Leland Clark’s perfluorocarbon liquid, Oxycyte, the researchers began their experiments. Oxycyte, a liquid once imagined as artificial blood, also starred in ‘The Abyss’ as a rat’s breath of fresh air. Now, it was time to see if it could help mammals breathe through their backsides.
So, they gave the animals enemas, administering oxygen gas or oxygenated perfluorocarbon. Inducing respiratory failure (because why not make it a party?), they tested the effectiveness of this unconventional method. Surprisingly, the results were promising, with both treatments effectively preventing respiratory failure and leaving the animals with nothing more than a tale to tell at the next lab reunion.
Humans: The Final Frontier
With animal success under their belts, the researchers set their sights on humans. Enter 27 brave men in Japan, who volunteered for a study that would make most people clench. They received doses of non-oxygenated perfluorodecalin via the anus, with the dosage increasing from 25 to 1,500 mL over an hour. While 20 of them completed the experiment, only mild bloating and discomfort were reported, proving that sometimes science is a pain in the butt—literally.
Co-author Takanori Takebe noted that this was merely a safety trial, not a test of effectiveness. But with tolerance established, the next step is to see if this method can indeed deliver oxygen to the bloodstream. If successful, EVA could offer a less invasive alternative to mechanical ventilation, allowing lungs to heal without further injury.
The Future of Breathing
As we venture further into the realm of rear-end respiration, the implications are as vast as the universe itself. Could this be the future of emergency medicine? Or perhaps a new party trick for those willing to bend over backward for science? Only time will tell.
For now, we watch with bated breath, waiting to see if this peculiar method will become a mainstream medical marvel or remain a quirky footnote in the annals of scientific discovery. Either way, it’s a reminder that sometimes the most groundbreaking ideas come from where the sun doesn’t shine.
Scientific Facts Worth Knowing
- •💡 Many mammals can breathe through their anus, a method called enteral ventilation via anus (EVA).
- •💡 Research emerged from COVID-19 ventilator shortages, inspired by the loach fish’s intestinal breathing.
- •💡 Experiments on mice and micro-pigs showed rectal oxygen delivery could prevent respiratory failure.
- •💡 Human trials in Japan demonstrated the safety of non-oxygenated perfluorodecalin administered rectally.
- •💡 Future research aims to test the effectiveness of EVA in delivering oxygen to the bloodstream.



