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. 1980 Apr;21(4):324–328. doi: 10.1136/gut.21.4.324

Comparison of maximal acid output and gastrin response to meals in Chinese and Scottish normal and duodenal ulcer subjects.

S K Lam, M Hasan, W Sircus, J Wong, G B Ong, R J Prescott
PMCID: PMC1419622  PMID: 7429294

Abstract

Maximal acid output (MAO) after pentagastrin stimulation and gastrin response to a standard meal was studied in 100 control and 200 duodenal ulcer subjects from each of two ethnic groups, Scots and Chinese. The acid output was significantly higher in the Scots than in the Chinese for both controls and duodenal ulcer patients. Despite correction for differences in body stature by expressing MAO as a function of the body weight, these differences persisted. In 45 pairs of closely matched patients with duodenal ulcer, the differences between the two ethnic groups remained significant, irrespective of whether MAO was expressed in absolute or weight corrected values. This indicates that differences in age, sex, family history, or duration of illness did not account for differences in acid output. In 20 pairs of normal control and 45 pairs of duodenal ulcer patients the fasting and post-prandial serum gastrin levels did not differ, significantly between the two ethnic groups. The proportion of acid normosecretors was significantly higher in the Chinese duodenal ulcer patients than in the Scottish. The reason for these differences in the gastric acid output between the two ethnic groups is not known and needs to be studied further.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BARON J. H. Studies of basal and peak acid output with an augmented histamine test. Gut. 1963 Jun;4:136–144. doi: 10.1136/gut.4.2.136. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BUCKWALTER J. A., COLTER D. C., KNOWLER L. A., TIDRICK R. T., WOHLWEND E. B. Peptic ulceration and ABO blood groups. J Am Med Assoc. 1956 Nov 24;162(13):1215–1220. doi: 10.1001/jama.1956.02970300015006. [DOI] [PubMed] [Google Scholar]
  3. Byrnes D. J., Lam S. K., Sircus W. The relation between functioning parietal cell and gastrin cell masses in two groups of duodenal ulcer patients. Clin Sci Mol Med. 1976 May;50(5):375–383. doi: 10.1042/cs0500375. [DOI] [PubMed] [Google Scholar]
  4. CARD W. I., MARKS I. N. The relationship between the acid output of the stomach following "maximal" histamine stimulation and the parietal cell mass. Clin Sci. 1960 Feb;19:147–163. [PubMed] [Google Scholar]
  5. Cheng F. C., Lam S. K., Ong G. B. Maximum acid output to graded doses of pentagastrin and its relation to parietal cell mass in Chinese patients with duodenal ulcer. Gut. 1977 Oct;18(10):827–832. doi: 10.1136/gut.18.10.827. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Crean G. P., Marshall M. W., Rumsey R. D. Parietal cell hyperplasia induced by the administration of pentagastrin (ICI 50,123) to rats. Gastroenterology. 1969 Aug;57(2):147–155. [PubMed] [Google Scholar]
  7. Fodor O., Vestea S., Urcan S., Popescu S., Sulica L., Iencica R., Goia A., Ilea V. Hydrochloric acid secretion capacity of the stomach as an inherited factor in the pathogenesis of duodenal ulcer. Am J Dig Dis. 1968 Mar;13(3):260–265. doi: 10.1007/BF02236600. [DOI] [PubMed] [Google Scholar]
  8. Fung W. P. Gastric acid secretion in Chinese with particular reference to the dose of histamine required for maximal stimulation. Gut. 1970 Nov;11(11):955–961. doi: 10.1136/gut.11.11.955. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hobsley M., Whitfield P. F., Faber R. G., Parkin J. V. Hypersecretion and length of history in duodenal ulceration. Lancet. 1975 Jul 19;2(7925):101–104. doi: 10.1016/s0140-6736(75)90005-7. [DOI] [PubMed] [Google Scholar]
  10. Lam S. K., Lai C. L. Inhibition of sulpiride on the cephalic phase of gastric acid and gastrin secretion in duodenal ulcer patients. Scand J Gastroenterol. 1976;11(1):27–31. [PubMed] [Google Scholar]
  11. Lam S. K., Sircus W. A comparison of the acid and gastrin secretory responses to hypoglycaemia and meals in duodenal ulcer with and without acid hypersecretion to pentagastrin. Digestion. 1976;14(1):1–11. doi: 10.1159/000197794. [DOI] [PubMed] [Google Scholar]
  12. Lam S. K., Sircus W. Studies on duodenal ulcer. I. The clinical evidence for the existence of two populations. Q J Med. 1975 Apr;44(174):369–387. [PubMed] [Google Scholar]
  13. Martin F., Macleod I. B., Sircus W. Effects of antrectomy on the fundic mucosa of the rat. Gastroenterology. 1970 Sep;59(3):437–444. [PubMed] [Google Scholar]
  14. Veselý K. T., Kubícková Z., Dvoráková M. Clinical data and characteristics differentiating types of peptic ulcer. Gut. 1968 Feb;9(1):57–68. doi: 10.1136/gut.9.1.57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Yalow R. S., Berson S. A. Radioimmunoassay of gastrin. Gastroenterology. 1970 Jan;58(1):1–14. [PubMed] [Google Scholar]

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