Abstract
The acid and pepsin responses to insulin stimulation were studied during 22 insulin tests on 21 vagotomized patients. In 9 tests, no rise in acid or pepsin concentration was observed within the two first hours following insulin stimulation. In 5 tests, whereas the acid response remained negative, a rise in pepsin concentration was observed. In 3 of these tests, pepsin output was also enhanced after insulin. In 8 tests, both acid and pepsin response became positive after the insulin injection. Except in those patients in whom an acid response occurred within 30 min, pepsin response was usually observed quite sooner than the acid response. These results suggest that pepsin secretion in response to insulin provides a more sensitive index of completeness of vagotomy than does acid secretion.