Evaluation of the Heidelberg pH capsule. Method of tubeless gastric analysis.

Over the past few years there has been an apparent increase in interest in various methods of gastric analysis. The diagnostic and therapeutic implications of the results of the various types of gastric analyses have recently been re-examined by several authors [l-8]. The augmented histamine stimulation test has gained increasingly wide acceptance by clinicians. Growing experience with this method of gastric analysis has indicated it to be reliable and reproducible. This method of gastric analysis is currently the standard procedure at the Veterans Administration Hospital, Charleston, South Carolina. In the interest of simplifying the methodology of the augmented histamine stimulation test while retaining its reliability, a modification suggested by Stavney et al. [9] and others [JO,111 has been adopted. It consists primarily of intragastric titration of acid monitored by the Heidelberg pH telemetering capsule. Results obtained from the augmented histamine stimulation test utilizing the Heidelberg pH capsule have been compared to those results obtained by the standard nasogastric tube aspiration technic. The method and comparative results are presented herein.

[1]  E. W. Moore THE TERMINOLOGY AND MEASUREMENT OF GASTRIC ACIDITY * , 1967 .

[2]  W H Steinberg,et al.  Heidelberg capsule. I. In vitro evaluation of a new instrument for measuring intragastric pH. , 1965, Journal of Pharmacy and Science.

[3]  J. Grieve Continuous records of gastric ρh in situ and their possible use in pre‐operative assessment of peptic ulcer patients , 1961, The British journal of surgery.

[4]  L. Witts,et al.  The Augmented Histamine Test with Special Reference to Achlorhydria , 1960, Gut.

[5]  A. Forrest,et al.  The Measurement of Gastric Acid , 1965, Postgraduate medical journal.

[6]  A. Kay Effect of Large Doses of Histamine on Gastric Secretion of HCl , 1953 .

[7]  A. Connell,et al.  ASSESSMENT OF GASTRIC FUNCTION BY PH TELEMETERING CAPSULE. , 1964, Lancet.

[8]  J. Kirsner,et al.  PRESENT STATUS OF HISTALOG GASTRIC ANALYSIS IN MAN * , 1967, Annals of the New York Academy of Sciences.

[9]  Card Wi,et al.  The relationship between the acid output of the stomach following "maximal" histamine stimulation and the parietal cell mass. , 1960 .

[10]  J. N. Hunt Gastric Emptying and Secretion in Man , 1959 .

[11]  A. Smith,et al.  The results of a policy of selective surgical treatment of duodenal ulcer , 1967, The British journal of surgery.

[12]  E. Passaro,et al.  Gastric secretory tests: pro and con. , 1967, American journal of surgery.

[13]  R. Doberneck,et al.  Diagnosis of the acid-peptic diathesis by continuous pH analysis. , 1967, The Surgical clinics of North America.