SUMMARY Serum gastrin concentrations and gastric acid secretion were measured in nine antrectomized subjects during infusion of saline and calcium gluconate. The basal gastrin level was of the same magnitude as in normal individuals and unoperated duodenal ulcer patients. Calcium infusion only induced gastrin release in one patient and did not induce acid secretion in any of the patients.The intravenous infusion of calcium stimulates gastric acid secretion in normal individuals (Reeder, Jackson, Ban, Clendinnen, Davidson, and Thompson, 1970) and in duodenal ulcer patients (Barreras and Donaldson, 1967 (Christiansen and Hendel, 1972).Studies by Reeder et al (1970) support the view that calcium exerts its effect on gastric acid secretion through the release of gastrin. Rosato, Mullen, Lanciault, Rosato, and Brooks (1973), who in conscious monkeys also found reproducible elevations in serum gastrin concentrations after calcium infusion, could not, however, demonstrate any correlation between serum gastrin concentration and gastric acid secretion.Further information on any relationship between calcium concentration and gastrin stimulation of acid secretion could be found by studying the effect of an infusion of calcium salts on the gastric acid secretion in patients in whom the antral source of gastrin had been removed.
Material and MethodsNine patients were studied, eight men and one woman, ages ranging from 22 to 60 years, who had had an antrectomy for duodenal or prepyloric ulcer