The synthetic pentapeptide, pentagastrin (ICI 50 123) has been found to be a suitable stimulant for routine examination of gastric acid secretion. The secretion was examined in 23 patients after subcutaneous injection of 6 and 9 μg, respectively, per kg. An increase of the dose to 9 μg/kg did not cause any increase in peak acid output, and a dose of 6 μg/kg has therefore been accepted as sufficient for maximal gastric stimulation. At this dosage level the results are consistent. In duplicate examinations in 23 patients, the responses had a mean deviation of 9.9%. In 15 cases peak acid output was measured after subcutaneous stimulation with histamine acid phosphate (40 μg/kg) and pentagastrin (6 μg/kg), respectively, and no difference between the two series was found. Of a total of 150 patients, 3 stated they had side effects after injection of pentagastrin. In all 3 cases these were slight and of short duration, and they did not affect the course of the study.

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