1983Journal of The Royal Naval Medical ServiceRequires access

The effect of cimetidine on pepsin secretion in patients with Zollinger Ellison Syndrome

T Gledhill, S Colley, J A Billings, S P Gray, R H Hunt

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Abstract

Summary We have measured pepsin output in two patients with Zollinger Ellison Syndrome before and after an intravenous dose of cimetidine. Pepsin output increased after H2 blockade in both patients despite a decrease in both the volume and acidity of secretion. We suggest that nonresponse to cimetidine may be due to increased pepsin secretion when receiving treatment.

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Summary We have measured pepsin output in two patients with Zollinger Ellison Syndrome before and after an intravenous dose of cimetidine. Pepsin output increased after H2 blockade in both patients despite a decrease in both the volume and acidity of secretion. We suggest that nonresponse to cimetidine may be due to increased pepsin secretion when receiving treatment.

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Available abstract

Summary We have measured pepsin output in two patients with Zollinger Ellison Syndrome before and after an intravenous dose of cimetidine. Pepsin output increased after H2 blockade in both patients despite a decrease in both the volume and acidity of secretion. We suggest that nonresponse to cimetidine may be due to increased pepsin secretion when receiving treatment.

Key concepts: Cimetidine, Pepsin, Zollinger-Ellison syndrome, Secretion, Gastric secretion, Internal medicine, Medicine, Gastroenterology

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