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. Author manuscript; available in PMC: 2012 Jan 1.
Published in final edited form as: Dig Dis Sci. 2010 Aug 20;56(1):139–154. doi: 10.1007/s10620-010-1234-1

Table 2.

Preoperative laboratory characteristics and antisecretory drug requirement of gastric acid normosecretors and hypersecretors postcurative resection(1)

Preoperative Characteristic
Number (percent)(6)
Normosecretors
Hypersecretors
(n=19)
Moderate (n=17)
Extreme (n=14)
Basal acid output (mEq/h) 28.9 ± 4.5 41.0 ± 6.1 57.9 ± 6.6(a, c)
Maximal acid output (mEq/h) 43.9 ± 6.2 67.2 ± 8.8(b) 87.6 ± 7.5(a)
Fasting serum gastrin (pg/ml) 1284 ± 450 1200 ± 422 1435 ± 616
Delta secretin (pg/ml)(2) 2143 ± 612 1550 ± 589 2417 ± 778
Preoperative Antisecretory treatment
 Drug(3)
  Histamine H2-inhibitors 9 (47%) 7 (41%) 3 (21%)
  Omeprazole 10 (53%) 10 (59%) 11 (79%)
 Duration (yrs)(4)
  Total 4 ± 1 5 ± 1 3 ± 1
  Histamine H2-inhibitors 3 ± 1 2 ± 1 2 ± 1
  Omeprazole 2 ± 1 3 ± 1 2 ± 1
 Dosage (mg/d)(5)
  Histamine H2-inhibitors 1284 ± 454 2203 ± 318 1426 ± 122
  Omeprazole 52 ± 8 66 ± 13 65 ± 18

Compared to normosecretors:

(a)

P <0.001,

(b)

P <0.03: Compared to moderate hypersecretors:

(c)

P <0.05.

(1)

Secretory groups are as defined in Table 1 legend.

(2)

Increase in serum gastrin level following secretin injection [28].

(3)

This is the last gastric acid antisecretory drug used prior to surgery.

(4)

Total duration is the total time the patient was treated with any gastric acid antisecretory drug prior to curative resection.

(5)

Dose of antisecretory drug patient was taking at the time of curative resection. All histamine H2-inhibitors were converted to ranitidine equivalents as previously described [26,80].

(6)

Number and percent are as defined in Table 1 legend.