title: Postbulbar duodenal ulcer in a patient with pentagastrin-fast achlorhydria.
abstract: This report describes the clinicopathologic features of a 55-yr-old man found to have a bleeding, postbulbar duodenal ulcer and fasting hypergastrinemia. Gastric analysis revealed pentagastrin-fast achlorhydria. Healing of the ulcer was documented 8 wk after vagotomy, antrectomy, gastrojejunostomy, and a course of sucralfate therapy. The etiology of the postbulbar ulcer was uncertain. This is the first documented case of a duodenal ulcer with pentagastrin-fast achlorhydria.
authors.affiliation: Medical Service, Veterans Administration Medical Center; Dallas, Texas.
authors.forename: M
authors.initials: M
authors.lastname: Goldschmiedt
authors.forename: W L
authors.initials: WL
authors.lastname: Peterson
authors.forename: F
authors.initials: F
authors.lastname: Vuitch
authors.forename: M
authors.initials: M
authors.lastname: Feldman
mesh_terms: D000126:Achlorhydria / Q000150:complications*; D003131:Combined Modality Therapy; D004381:Duodenal Ulcer / Q000150:complications* / Q000628:therapy; D005215:Fasting; D005755:Gastrins / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D014945:Wound Healing
chemical_list: D005755:Gastrins