Wormsley K G
Ninewells Hospital and Medical School, Dundee, Scotland, U.K.
Scand J Gastroenterol Suppl. 1991;180:174-8. doi: 10.3109/00365529109093197.
Several gastric mucosal diseases and the response to powerful gastric secretory inhibitors are accompanied by hypergastrinaemia. When the gastric mucosa is functioning normally, hypergastrinaemia may be dangerous as a consequence of gastric hypersecretion. When the gastric mucosa is functionally abnormal, hypergastrinaemia produces no apparent adverse effects on health. However, the diseases giving rise to hypergastrinaemia are very dangerous because they are often the precursors of gastric cancer. In view of the probable mechanisms of gastric carcinogenesis, it is argued that therapeutic achlorhydria is also potentially dangerous irrespective of the absence or presence of 'hypergastrinaemia'.
几种胃黏膜疾病以及对强效胃分泌抑制剂的反应都伴有高胃泌素血症。当胃黏膜功能正常时,由于胃酸分泌过多,高胃泌素血症可能是危险的。当胃黏膜功能异常时,高胃泌素血症对健康没有明显的不良影响。然而,引起高胃泌素血症的疾病非常危险,因为它们往往是胃癌的先兆。鉴于胃癌发生的可能机制,有人认为无论是否存在“高胃泌素血症”,治疗性无胃酸也有潜在危险。