Abstract
Serum concentrations of group I and II pepsinogens (PG I and PG II) were determined in 15 patients with chronic renal failure. Gastroduodenoscopy with biopsy and acid secretion tests were also performed. Five patients had histologically confirmed severe Brunner's gland hyperplasia manifesting as multiple polyps in the duodenal bulb. Five patients had a mild form of Brunner's gland hyperplasia which was evident only by histological analysis. Five had no signs of such alterations. The three groups of patients were comparable in age, sex, mean level of serum creatinine, mean duration of dialysis treatment, distribution of non-dialysed and dialysed patients, and gastric histology. In patients with severe Brunner's gland hyperplasia the mean serum PG II concentration was significantly higher than in the other patients. Both the serum PG I and the serum PG II concentrations decreased after receiving a well functioning renal transplant in the two patients who underwent transplantation.
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- Cooke A. R., Grossman M. I. Studies on the secretion and motility of Brunner's gland pouches. Gastroenterology. 1966 Oct;51(4):506–514. [PubMed] [Google Scholar]
- Franzin G., Musola R., Mencarelli R. Morphological changes of the gastroduodenal mucosa in regular dialysis uraemic patients. Histopathology. 1982 Jul;6(4):429–437. doi: 10.1111/j.1365-2559.1982.tb02740.x. [DOI] [PubMed] [Google Scholar]
- Ichinose M., Miki K., Furihata C., Kageyama T., Hayashi R., Niwa H., Oka H., Matsushima T., Takahashi K. Radioimmunoassay of serum group I and group II pepsinogens in normal controls and patients with various disorders. Clin Chim Acta. 1982 Dec 9;126(2):183–191. doi: 10.1016/0009-8981(82)90034-1. [DOI] [PubMed] [Google Scholar]
- Karonen S. L., Mörsky P., Siren M., Seuderling U. An enzymatic solid-phase method for trace iodination of proteins and peptides with 125-iodine. Anal Biochem. 1975 Jul;67(1):1–10. doi: 10.1016/0003-2697(75)90266-3. [DOI] [PubMed] [Google Scholar]
- Leeson T. S., Leeson C. R. The fine structure of Brunner's glands in man. J Anat. 1968 Sep;103(Pt 2):263–276. [PMC free article] [PubMed] [Google Scholar]
- Margolis D. M., Saylor J. L., Geisse G., DeSchryver-Kecskemeti K., Harter H. R., Zuckerman G. R. Upper gastrointestinal disease in chronic renal failure. A prospective evaluation. Arch Intern Med. 1978 Aug;138(8):1214–1217. [PubMed] [Google Scholar]
- Muolo A., Ghidini O., Ancona G., Franzin G., Galvani E., Rinaldi M., Confortini P. Gastroduodenal mucosal changes, gastric acid secretion, and gastrin levels following successful kidney transplantation. Transplant Proc. 1979 Jun;11(2):1277–1279. [PubMed] [Google Scholar]
- Paimela H., Tallgren L. G., Stenman S., von Numers H., Scheinin T. M. Multiple duodenal polyps in uraemia: a little known clinical entity. Gut. 1984 Mar;25(3):259–263. doi: 10.1136/gut.25.3.259. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Samloff I. M. Cellular localization of group I pepsinogens in human gastric mucosa by immunofluorescence. Gastroenterology. 1971 Aug;61(2):185–188. [PubMed] [Google Scholar]
- Samloff I. M., Liebman W. M. Cellular localization of the group II pepsinogens in human stomach and duodenum by immunofluorescence. Gastroenterology. 1973 Jul;65(1):36–42. [PubMed] [Google Scholar]
- Samloff I. M. Pepsinogens, pepsins, and pepsin inhibitors. Gastroenterology. 1971 Apr;60(4):586–604. [PubMed] [Google Scholar]
- Samloff I. M., Secrist D. M., Passaro E., Jr A study of the relationship between serum group I pepsinogen levels and gastric acid secretion. Gastroenterology. 1975 Dec;69(6):1196–1200. [PubMed] [Google Scholar]
- Samloff I. M., Townes P. L. Electrophoretic heterogeneity and relationships of pepsinogens in human urine, serum, and gastric mucosa. Gastroenterology. 1970 Apr;58(4):462–469. [PubMed] [Google Scholar]
- Samloff I. M., Varis K., Ihamaki T., Siurala M., Rotter J. I. Relationships among serum pepsinogen I, serum pepsinogen II, and gastric mucosal histology. A study in relatives of patients with pernicious anemia. Gastroenterology. 1982 Jul;83(1 Pt 2):204–209. [PubMed] [Google Scholar]
- Siurala M., Isokoski M., Varis K., Kekki M. Prevalence of gastritis in a rural population. Bioptic study of subjects selected at random. Scand J Gastroenterol. 1968;3(2):211–223. doi: 10.3109/00365526809180125. [DOI] [PubMed] [Google Scholar]
- Whitehead R., Roca M., Meikle D. D., Skinner J., Truelove S. C. The histological classification of duodenitis in fibreoptic biopsy specimens. Digestion. 1975;13(3):129–136. doi: 10.1159/000197701. [DOI] [PubMed] [Google Scholar]
- Zukerman G. R., Mills B. A., Koehler R. E., Siegel A., Harter H. R., DeSchryver-Kecskemeti K. Nodular duodenitis. Pathologic and clinical characteristics in patients with end-stage renal disease. Dig Dis Sci. 1983 Nov;28(11):1018–1024. doi: 10.1007/BF01311731. [DOI] [PubMed] [Google Scholar]