Skip to main content
  • 65 Accesses

Abstract

The antral hormone gastrin is of special importance in recurrent ulcerations after gastric surgery. In the last few years several forms of hypergastrinaemia have been found; the differential diagnosis embraces the following:

  1. 1)

    Zollinger-Ellison syndrome

  2. 2)

    Antral G-cell hyperplasia

  3. 3)

    Retained antrum after Billroth II resection

  4. 4)

    Pyloric stenosis

  5. 5)

    Pernicious anaemia, atrophic gastritis, gastric carcinoma

  6. 6)

    Vagotomy

  7. 7)

    Chronic renal insufficiency

  8. 8)

    Short-bowel syndrome

  9. 9)

    Phaeochromocytoma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Becker, H.D.: Progress in diagnosis of gastric function. Ztschr. Gastroent. 16, 118 (1978)

    CAS  Google Scholar 

  2. Myren, J., Gjeruldsen, S., Tretheim, B.: Gastric secretion before and after graded partial gastrectomy for duodenal ulcer. Scand. J. Gastroent. 1, 132 (1966)

    PubMed  CAS  Google Scholar 

  3. Baron, J.H.: The rationale of the different operations for peptic ulcer. In: Cox, A.G., Alexander-Williams, J.: Vagotomy on trial. Heinemann Broks, London p. 7–36 (1973)

    Google Scholar 

  4. Mathieson, A.J.M.: The Billroth I recurrent ulcer. Brit. J. Surg. 50, 251 (1962)

    Article  PubMed  CAS  Google Scholar 

  5. Becker, H.D., Reeder, D.D., Thompson, J.C.: Effect of truncal vagotomy with pyloroplasty or with antrectomy on food stimulated gastrin values in patients with duodenal ulcer. Surgery 74, 580 (1973)

    PubMed  CAS  Google Scholar 

  6. Kennedy, T., Mac Kay, C., Bedi, B.S., Kay A.W.: Truncal vagotomy and drainage for chronic duodenal ulcer disease: a controlled trial. Brit. med. J. 2, 71 (1973)

    Article  PubMed  CAS  Google Scholar 

  7. Jordan, P.H., Condon, R.E.: A prospective evaluation of vagotomy-pyloroplasty and vagotomy-antrectomy for treatment of duodenal ulcer. Ann. Surg. 272, 547 (1970)

    Article  Google Scholar 

  8. Jordan, P.H.: A prospective study of parietal cell vagotomy and selective vagotomy-antrectomy for treatment of duodenal ulcer. Ann. Surg. 183, 619 (1976)

    Article  PubMed  Google Scholar 

  9. Johnston, D.: Highly selective vagotomy. Progr. Surg. 14, 1 (1975)

    CAS  Google Scholar 

  10. Kronborg, O., Madsen, P.: A controlled, randomized trial of highly selective vagotomy versus selective vagotomy and pyloroplasty in the treatment of duodenal ulcer. Gut 16, 268 (1975)

    Article  PubMed  CAS  Google Scholar 

  11. Zumtobel, V., Engelke, B., Marrie, A., Mühe, E.: Proximale selektive Vagotomie. Langenbeck’s Arch. Chir. 345, 223 (1977)

    CAS  Google Scholar 

  12. Clark, C.G., Murray, J.G., Slessov, I.M., Wyllie, J.H.: Complete vagotomy and its consequences following-up of 146 patients. Brit. med. J. 2, 900 (1964)

    Article  PubMed  CAS  Google Scholar 

  13. Kronborg, O.: Influence of the number of parietal cells on risk of recurrence after truncal vagotomy and drainage for duodenal ulcer. Scand. J. Gastroent. 7, 423 (1972)

    Article  Google Scholar 

  14. Hollander, F.: The insulin test for the presence of intact nerve fibres after vagal operations for peptic ulcer. Gastroenerology 7, 607 (1946)

    CAS  Google Scholar 

  15. Ross, B., Kay, A.W., The insulin test after vagotomy. Gastroenterology 46, 379 (1964)

    PubMed  CAS  Google Scholar 

  16. Johnston, D., Thomas, D.G., Checketts, R.G., Duthie, H.L.: An assessment of postoperative testing for completeness of vagotomy. Brit. J. Surg. 54, 831 (1967)

    Article  PubMed  CAS  Google Scholar 

  17. Waddell, W.R.: The acid secretory response to histamine and insulin hypoglycemia after various operations on the stomach. Surgery 42, 652 (1974)

    Google Scholar 

  18. Bachrach, W.H.: Laboratory criteria for the completeness of vagotomy. Amer. J. Dig. Dis. 7, 1071 (1962)

    Article  PubMed  CAS  Google Scholar 

  19. Hubel, K.A.: Insulin-induced gastric acid secretion in young men. Gastroenterology 50, 24 (1966)

    PubMed  CAS  Google Scholar 

  20. Bitsch, V., Christiansen, RM., Faber, V., Rodbro, P.: Gastric secretory patterns before and after vagotomy. Lancet 1, 1288 (1966)

    Article  PubMed  CAS  Google Scholar 

  21. Bank, S., Marks, I.N., Louw, J.H.: Histamine- and insulin-stimulated gastric acid secretion after selective and truncal vagotomy. Gut 8, 36 (1967)

    Article  PubMed  CAS  Google Scholar 

  22. Bachrach, W.H., Bachrach, L.B.: Reevaluation of the Hollander-test. Ann. N.Y. Acad. Sci. 140, 915 (1967)

    Article  PubMed  CAS  Google Scholar 

  23. Stempien, S.J., Lee, E.R., Dagradi, A.E.: Clinical appraisal of insulin gastric analysis. Amer. J. Dig. Dis. 13, 21 (1968)

    Article  PubMed  CAS  Google Scholar 

  24. Faber, R.G., Hobsley, M.: Basal gastric secretion: reproducibility and relationship with duodenal ulceration. Gut 18, 57 (1976)

    Article  Google Scholar 

  25. Faber, R.G., Russell, R.C.G, Parkin, J.V., Whitfield, P, Hobsley, M.: The predictive accuracy of the postvagotomy insulin test: a new interpretation. Gut 16, 337 (1975)

    Article  PubMed  CAS  Google Scholar 

  26. Maybury, N.K., Faber, R.G., Hobsley, M.: Postvagotomy insulin test: improved predictability of ulcer recurrence after corrections for height and collection errors. Gut 18, 449 (1977)

    Article  PubMed  CAS  Google Scholar 

  27. Passaro, E., Basso, N., Walsh, J.H.: Calcium challenge in the Zollinger-Ellison-syndrome. Surgery 72, 60 (1972)

    PubMed  Google Scholar 

  28. Isenberg, J.I., Walsh, J.H., Passaro, E., Moore, E.W., Grossman, M.I.: Unusual effects of secretin on serum gastrin, serum calcium and gastric acid secretion in a patient with suspected Zollinger-Ellison-syndrome. Gastroenterology 62, 626 (1972)

    PubMed  CAS  Google Scholar 

  29. Thompson, J.C., Reeder, D.D., Bunchman, H.H., Becker, H.D., Brandt, E.N.: Effect of secretin on circulating gastrin. Ann. Surg. 176, 384 (1972)

    Article  PubMed  CAS  Google Scholar 

  30. Arnold, R., Creutzfeldt, W.: Praeoperative Untersuchungen beim Recidivulcus im operierten Magen. Dtsch. med. Wschr. 102, 1684 (1977)

    Article  PubMed  CAS  Google Scholar 

  31. Becker, H.D., Reeder, D.D., Thompson, J.C.: Effect of glucagon on circulating gastrin. Gastroenterology 65, 28 (1973)

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer-Verlag Berlin · Heidelberg

About this chapter

Cite this chapter

Becker, H.D., Caspary, W.F. (1980). Endocrine Provocation Tests. In: Postgastrectomy and Postvagotomy Syndromes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67350-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-67350-4_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67352-8

  • Online ISBN: 978-3-642-67350-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics