Serum Gastrin in Patients with Peptic Ulceration. Issue 5710 (13th June 1970)

• Record Type: Journal Article
• Authors: Byrnes, D. J.; Young, J. D.; Chisholm, D. J.; Lazarus, L.
• Is Part Of: BMJ. Volume 2:Issue 5710(1970)
• Page Start: 626
• Page End: 629
• Publication Date: 1970-06-13
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610
• DOI: 10.1136/bmj.2.5710.626
• Languages: English
• ISSNs: 0007-1447

Abstract

Abstract : The fasting serum level of gastrin was determined by radioimmunoassay in 41 normal subjects, 27 patients with duodenal ulceration, 12 patients with gastric ulceration, and 8 patients following "complete" vagotomy. The patients with duodenal ulceration had significantly higher serum levels of gastrin (1·3 ± S.D. 0·7 ng./ml.) than normal subjects (0·4 ± S.D. 0·3 ng./ml.), patients with gastric ulceration (0·4 ± S.D. 0·4 ng./ml.), or post-vagotomy patients (0·15 ± S.D. 0·2 ng./ml.). The gastrin secretion in both normal subjects and patients with duodenal ulceration was responsive to protein ingestion, but a larger incremental secretion of gastrin occurred in the latter group. Hyperglycaemia significantly suppressed the serum level of gastrin in both groups. The patients with gastric ulceration had fasting and postprandial serum gastrin levels not significantly different from normal subjects.