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Biomedical subjects

C Nakanome

Publications and source records attributed to C Nakanome.

22 records · Page 2Linked to original sources

Clinical significance of glucagon provocation test in the diagnosis of hypergastrinemia.

Glucagon provocation test was performed in the patients with hypergastrinemia and hyperchlorhydria to investigate its diagnostic value. A paradoxical response of plasma gastrin level in the patients with the Zollinger-Ellison syndrome and a marked decrease of plasma gastrin level in the patients with gastric ulcer, duodenal ulcer, excluded gastric antrum, multiple endocrine adenomatosis, pernicious anemia and chronic renal failure were demonstrated by glucagon infusion. Glucagon provocation test, therefore, was considered to be of great value in the diagnosis of the Zollinger-Ellison syndrome, particularly, in the case of an excluded gastric antrum in which secretin provocation test caused the false positive result because of a marked increase of pancreatic secretion. Glucagon provocation test in combination with secretin provocation test, therefore, is at present the most preferable diagnostic procedure for detecting the Zollinger-Ellison syndrome.U

Adult↗

Mucosal secretion of the duodenum in peptic ulcer disease.

Mucosal secretin content of the duodenum was measured using bioptic specimen in healthy controls and patients of peptic ulcer. Immunoreactive secretin in the duodenal mucosa was found greater in healthy controls (7.73 +/- 2.71 ng/mg dry wt., mean +/- S.D.) than in gastric ulcer patients (5.76 +/- 3.51 ng/mg dry wt.) and duodenal ulcer patients (5.54 +/- 2.48 ng/mg dry wt.), but the difference was not significant. There was no significant relationship between mucosal secretin and acid output in these patients.

Adult↗