AI Article Synopsis

  • The high rates of gastroduodenal ulcers in hyperparathyroidism patients are linked to gastric hyperacidity from high calcium levels.
  • A study with 40 patients showed that higher serum calcium levels correlated with increased gastrin but not with gastric acid secretion.
  • The findings suggest that gastric hyperacidity is not a feature of parathyroid adenomas, possibly due to an inhibitory mechanism on gastrin, potentially involving calcitonin.

Article Abstract

The high incidence of gastroduodenal ulcers in patients with hyperparathyroidism has been ascribed to gastric hyperacidity induced by hypercalcaemia. In a clinical study comprising 40 patients with solitary parathyroid adenoma, a negative correlation between serum calcium and spontaneous gastric acid secretion was found. At the same time a positive correlation was found between serum calcium and gastrin. It is concluded that gastric hyperacidity is not part of the syndrome provoked by parathyroid adenomas, and that a mechanism inhibitory to gastrin is active in these patients. It is suggested that the inhibitor could be calcitonin.

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http://dx.doi.org/10.1002/bjs.1800671217DOI Listing

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