Gastric acid hypersecretory states: Recent insights and advances |
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Authors: | Nauramy Osefo Tetsuhide Ito Robert T Jensen |
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Institution: | (1) GSK Consumer Healthcare, 07054 Parsippany, NJ, USA; |
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Abstract: | Gastric acid hypersecretory states are characterized by basal hypersecretion of gastric acid and historically include disorders
associated with hypergastrinemia, hyperhistaminemia, and those of unknown etiology. Although gastric acid secretion is infrequently
measured, it is important to recognize the role of gastric hypersecretion in the symptoms of these disorders because they
share several features of pathogenesis and treatment. In this article, recent important articles reporting insights into their
diagnosis, pathogenesis, and treatment are reviewed. Particular attention is paid to Zollinger-Ellison syndrome, because it
has the most extreme acid hypersecretion of this group of disorders and because numerous recent articles deal with various
aspects of the diagnosis, molecular pathogenesis, and treatment of the gastrinoma itself or the acid hypersecretion. Two new
hypersecretory disorders are reviewed: rebound acid hypersecretion after the use of proton pump inhibitors and acid hypersecretion
with cysteamine treatment in children with cystinosis. |
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