Table 3.
Gastric acid output, fasting serum gastrin, and Helicobacter pylori status following curative resection
Postoperative Parameter |
Number (percent)(1) |
||
---|---|---|---|
Normosecretors |
Hypersecretors |
||
(n=19) |
Moderate (n=17) |
Extreme (n=14) |
|
BAO at 3–6 mos (mEq/h)(2) | 5.7 ± 1.3 | 13.9 ± 2.1(a) | 21.3 ± 3.0(b) |
BAO at 3–6 mos (% of pre-op value)(2) | 25.0 ± 7.7 | 46.4 ± 10.0(a) | 46.5 ± 10.0(a) |
MAO at 3–6 mos (mEq/h) | 31.6 ± 5.8 | 44.8 ± 5.4 | 63.5 ± 9.1(a) |
MAO at 3–6 mos (% of pre-op value)(2) | 65.1 ± 8.7 | 80.9 ± 9.2 | 70.9 ± 10.4 |
Highest BAO (mEq/h)(3) | 7.1 ± 1.1 | 17.7 ± 1.7(b) | 33.1 ± 4.0(c, d) |
Highest BAO (% of pre-op value)(4) | 32.6 ± 8.4 | 68.4 ± 9.2 | 67.2 ± 9.6 |
Highest MAO (mEq/h)(3) | 34.9 ± 6.6 | 52.8 ± 6.8 | 82.7 ± 9.4(c) |
Highest MAO (% of pre-op value)(4) | 71.5 ± 12.4 | 90.5 ± 9.2 | 98.2 ± 9.9 |
Fasting serum gastrin immediate post-op (pg/ml) | 69.0 ± 6.4 | 102.5 ± 26.8 | 72.1 ± 5.5 |
Delta secretin immediate post-op (pg/ml)(5) | 37.3 ± 18.1 | 22.3 ± 5.5 | 31.2 ± 6.2 |
Fasting serum gastrin at time of highest BAO (pg/ml) | 58.6 ± 8.1 | 53.6 ± 6.3 | 85.1 ± 12.9 |
Delta secretin at time of highest BAO (pg/ml)(5) | 28.3 ± 17.6 | 28.8 ± 5.6 | 52.5 ± 15.1 |
Helicobacter pylori status (% present)(6) | 3 (16%) | 2 (12%) | 0 |
Compared to normosecretors:
P <0.01,
P <0.001,
P <0.0001; compared to moderate hypersecretors:
P <0.0001.
Number and percent are as defined in Table 1 legend.
Basal acid output (BAO) or maximal acid output (MAO) at 3 to 6 months post-curative resection are expressed as a percentage of the pre-operative value.
Highest BAO is as defined in Table 1 legend. Highest MAO is similarly defined.
Highest BAO or MAO expressed as a percentage of the pre-operative value.
Immediate post-op means within two weeks of curative resection. Delta secretin is the increase in serum gastrin following secretin injection [28].
H. pylori status refers to the results of evaluation for the presence of H. pylori as defined in METHODS post-curative resection and prior to or at time of highest BAO.