Six
duodenal ulcer patients were investigated before and after
truncal vagotomy and pyloroplasty. Four doses of
gastrin-17 were injected intravenously (15.625, 31.25, 62.5, and 125 micrograms/kg
body weight); the gastric secretory response and the disappearance rate of
gastrin were measured. After
vagotomy the basal level of
gastrin increased from 64 pg/ml to 106 pg/ml. When corrected for the basal levels of
gastrin, the peak levels and disappearance rate of
gastrin-17 were observed to be the same after
vagotomy as before (half-life before
vagotomy, 5.6 min; after, 5.8 min). This indicates that vagus does not influence the metabolism of exogenous
gastrin-17. The gastric secretion of
acid was reduced to 30% after
vagotomy, which shows that there is a synergism between vagus and
gastrin-17.