Document Detail


Healthy controls have as much bile reflux as gastric ulcer patients.
MedLine Citation:
PMID:  3428684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Data on duodenogastric reflux of bile in gastric ulcer are conflicting. We therefore measured intragastric bile acid concentration and its composition from individual bile acids, duodenogastric bile acid reflux rate, gastric emptying rate, and secretion rates of volume and acid in 30 patients with gastric ulcer and in 66 healthy controls, both in the fasting state and after feeding a liquid meal. Patients had higher gastric bile acid concentrations (p less than 0.05) than controls in the fasting state, but the overlap between the groups was considerable. In fasting patients with corpus ulcer, gastric secretion rates were significantly decreased when compared with controls. There was no difference between patients and controls with respect to gastric emptying rate, bile acid reflux rate, intragastric amount of bile acids, and bile acid composition in the fasting state. Postprandially, all parameters tested were similar in patients and controls. Controls showed high reflux rates with similar frequency as did ulcer patients. We conclude that increased gastric bile acid concentrations in the fasting stomach of patients with gastric ulcer are the result of gastric hyposecretion and not of increased reflux. They probably are pathogenetically irrelevant.
Authors:
N E Schindlbeck; C Heinrich; F Stellaard; G Paumgartner; S A Müller-Lissner
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Gut     Volume:  28     ISSN:  0017-5749     ISO Abbreviation:  Gut     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-03-02     Completed Date:  1988-03-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  2985108R     Medline TA:  Gut     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1577-83     Citation Subset:  AIM; IM    
Affiliation:
Medizinische Klinik Innenstadt, University of Munich, Federal Republic of Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Bile Acids and Salts / analysis*
Bile Reflux / complications*
Biliary Tract Diseases / complications*
Fasting
Female
Food
Gastric Emptying
Humans
Male
Middle Aged
Stomach Ulcer / complications*,  metabolism,  physiopathology
Chemical
Reg. No./Substance:
0/Bile Acids and Salts
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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