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Modified sham feeding (MSF) and insulin tests were carried out in 28 patients after vagotomy. Basal and pentagastrin collections were also performed. Using the secretory data from 9 of the patients with endoscopically proven recurrent ulcer as a reference, 20 gastric secretory indices were studied and critical levels were chosen to provide the maximum sensitivity and specificity. The eleven most discriminating indices were then used to evaluate the remaining 19 patients. There was agreement between the responses to MSF and insulin as to the adequacy of vagotomy in 16 of the patients (84 per cent) and contradictory responses in 3 patients (16 per cent). Overall, MSF responses were as discriminating as the responses to insulin. A simplified ward test, based on crude volume measurements in response to MSF is proposed.
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
September 1989,
The British journal of surgery,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
January 1993,
Digestion,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
July 1994,
The British journal of surgery,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
March 1987,
Gut,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
June 1986,
Hepato-gastroenterology,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
January 1978,
Scandinavian journal of gastroenterology,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
August 1990,
Alimentary pharmacology & therapeutics,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
January 1990,
Materia medica Polona. Polish journal of medicine and pharmacy,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
November 1969,
Acta physiologica Scandinavica,
A C Athow, and
M R Lewin, and
A T Sewerniak, and
C G Clark
December 1981,
Gut,
