Gastric Acid Secretion and Serum Gastrin Levels in Children with Recurrent Abdominal Pain, Gastric and Duodenal Ulcers

Basal and histalog-stimulated gastric acid secretion and serum gastrin levels before and after a standard protein meal were compared in eight children with active duodenal ulcer (DU), four with active gastric ulcer (GU), and in seven children with recurrent abdominal pain (RAP) of undetermined etiol...

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Veröffentlicht in:Journal of clinical gastroenterology 1980-09, Vol.2 (3), p.243-246
1. Verfasser: Liebman, William M
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description Basal and histalog-stimulated gastric acid secretion and serum gastrin levels before and after a standard protein meal were compared in eight children with active duodenal ulcer (DU), four with active gastric ulcer (GU), and in seven children with recurrent abdominal pain (RAP) of undetermined etiology. There was no discernible difference in the pattern of abdominal pain in DU, GU, and RAP. Basal acid output, peak and maximal acid output, whether expressed as mil-liequivalents per hour or as milliequivalents per kilogram per hour, were comparable in children with DU, GU, and RAP. In contrast, serum gastrin levels, 1 and 2 hours after standard protein meal, were significantly higher in the DU children than in the GU or RAP group. These studies have suggested that hypersecretion of gastric acid may not be associated with duodenal ulcer or gastric ulcer disease in children, and that increased gastrin secretion and possible reduced acid responsiveness coexist in children with duodenal ulcers.
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subjects Abdomen
Acute Disease
Adolescent
Child
Duodenal Ulcer - etiology
Duodenal Ulcer - physiopathology
Female
Gastric Acid - metabolism
Gastrins - blood
Humans
Male
Pain - etiology
Pain - physiopathology
Recurrence
Stomach Ulcer - etiology
Stomach Ulcer - physiopathology
title Gastric Acid Secretion and Serum Gastrin Levels in Children with Recurrent Abdominal Pain, Gastric and Duodenal Ulcers
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