Gastric bicarbonate secretion and release of prostaglandin E2 are increased in duodenal ulcer patients but not in Helicobacter pylori-positive healthy subjects
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Gastric bicarbonate secretion and release of prostaglandin E2 are increased in duodenal ulcer patients but not in Helicobacter pylori-positive healthy subjects. / Mertz-Nielsen, A.; Hillingsø, J.; Frøkiær, H.; Bukhave, K.; Rask-Madsen, J.
I: Scandinavian Journal of Gastroenterology, Bind 31, Nr. 1, 1996, s. 38-43.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Gastric bicarbonate secretion and release of prostaglandin E2 are increased in duodenal ulcer patients but not in Helicobacter pylori-positive healthy subjects
AU - Mertz-Nielsen, A.
AU - Hillingsø, J.
AU - Frøkiær, H.
AU - Bukhave, K.
AU - Rask-Madsen, J.
N1 - Funding Information: ACKNOWLEDGEMENTS The study was supported by grants from Director J. Madsen’s Foundation, P. Carl Petersen’s Foundation, and the Danish Medical Research Council (project 12-0219). The skilful technical assistance of H. Fuglsang, T. Gartner, and I-L. Uffval is gratefully acknowledged. We thank Dr. P. Andersen for measuring antibody titres against Helicobacter pylori.
PY - 1996
Y1 - 1996
N2 - Background: Duodenal ulcer (DU) patients have impaired proximal duodenal mucosal bicarbonate secretion at rest and in response to luminal acid with higher acid-stimulated mucosal release of prostaglandin (PG)E2 than healthy subjects. Our purpose was to determine whether this abnormality was present also in the stomach of DU patients. Methods: Simultaneous determinations of gastric and duodenal bicarbonate secretion and luminal release of PGE2 were performed in 16 healthy volunteers (5 Helicobacter pylori-positive) and 8 inactive DU patients (all H. pylori-positive). Results. In healthy volunteers the rates of gastroduodenal bicarbonate secretion and the release of PGE2 were not influenced by H. pylori status. In inactive DU patients the rates of basal (704 ± 84 versus 356 ± 40 μmol/h; mean ± SEM) and vagally stimulated (modified sham feeding) (1724 ± 376 versus 592 ± 52 μmol/h) gastric bicarbonate secretion were higher (p < 0.05) than in the health, whereas the corresponding rates (339 ± 42 versus 591 ± 51 μmol/h and 543 ± 99 versus 778 ± 69 μmol/h) in duodenal bicarbonate secretion were lower (p < 0.05). In addition, inactive DU patients had higher basal (148 ± 32 versus 53 ± 5 ng/h) and stimulated (291 ± 84 versus 131 ± 25 ng/h) gastric release of PGE2, but only the basal release of PGE2 into the duodenum was significantly increased (20 ± 3 versus 5 ± 1 ng/h; p < 0.05). Conclusion: Increased mucosal production of PGE2 may be responsible for the abnormally high gastric secretion of bicarbonate in inactive DU patients. The defective duodenal secretion of bicarbonate observed in these patients may be a consequence of previous ulceration rather than the mere presence of H. pylori infection.
AB - Background: Duodenal ulcer (DU) patients have impaired proximal duodenal mucosal bicarbonate secretion at rest and in response to luminal acid with higher acid-stimulated mucosal release of prostaglandin (PG)E2 than healthy subjects. Our purpose was to determine whether this abnormality was present also in the stomach of DU patients. Methods: Simultaneous determinations of gastric and duodenal bicarbonate secretion and luminal release of PGE2 were performed in 16 healthy volunteers (5 Helicobacter pylori-positive) and 8 inactive DU patients (all H. pylori-positive). Results. In healthy volunteers the rates of gastroduodenal bicarbonate secretion and the release of PGE2 were not influenced by H. pylori status. In inactive DU patients the rates of basal (704 ± 84 versus 356 ± 40 μmol/h; mean ± SEM) and vagally stimulated (modified sham feeding) (1724 ± 376 versus 592 ± 52 μmol/h) gastric bicarbonate secretion were higher (p < 0.05) than in the health, whereas the corresponding rates (339 ± 42 versus 591 ± 51 μmol/h and 543 ± 99 versus 778 ± 69 μmol/h) in duodenal bicarbonate secretion were lower (p < 0.05). In addition, inactive DU patients had higher basal (148 ± 32 versus 53 ± 5 ng/h) and stimulated (291 ± 84 versus 131 ± 25 ng/h) gastric release of PGE2, but only the basal release of PGE2 into the duodenum was significantly increased (20 ± 3 versus 5 ± 1 ng/h; p < 0.05). Conclusion: Increased mucosal production of PGE2 may be responsible for the abnormally high gastric secretion of bicarbonate in inactive DU patients. The defective duodenal secretion of bicarbonate observed in these patients may be a consequence of previous ulceration rather than the mere presence of H. pylori infection.
KW - Bicarbonate secretion
KW - Duodenal ulcer
KW - Duodenum
KW - Helicobacter pylori
KW - Prostaglandins
KW - Stomach
UR - http://www.scopus.com/inward/record.url?scp=0030060722&partnerID=8YFLogxK
U2 - 10.3109/00365529609031624
DO - 10.3109/00365529609031624
M3 - Journal article
C2 - 8927938
AN - SCOPUS:0030060722
VL - 31
SP - 38
EP - 43
JO - Scandinavian Journal of Gastroenterology. Supplement
JF - Scandinavian Journal of Gastroenterology. Supplement
SN - 0085-5928
IS - 1
ER -
ID: 331794612