To evaluate the convenience of the method of gastric acid examination without using gastric tube in the daily examination and to get a knowledge in judging the results, the gastric acid examination with Kilex (Azur A resin method) was practiced to 163 cases comprising mainly diseases of digestive organs and the following results were obtained.
1) The cases in which the Kilex value shows under 0.3 are mostly anacidity determined by gastric tube method, but hypoacidity is also often included in this group and so the cases in which the Kilex value shows under 0.3 are properly judged to be either anacidity or hypoacidity and 60% of those cases were anacidity and 40% were hypoacidity in the present study.
It seemed proper that the cases in which the Kilex value shows over 0.6 are judged to be normoacidity and hyperacidity.
2) Coincidence of the diagnosis determined by the Kilex value with that determined by gastric tube method was seen most frequently in gastric cancer, and was seen rather frequently in other diseases too. However, in the cases of pyloric stenosis and those in which contrast medium passes rapidly they did not coincide. These cases are not the objects of this method even from the consideration of the action of non-gastric tube method.
3) The Kilex value of over 0.3 is often encountered in the patients over 50 years of age. However, anacidity is caused often physiologically among the old people and, therefore, consideration of this point should be made in the judgement of the results.
4) It seemed that anacidity determined by gastric tube method coincided with that determined by Kilex value more often than by other nongastric tube methods. This method will be of convenience in seeking patients with anacidity roughly in the group examination of geriatric diseases with the emphasis on gastric cancer.
(The gist of this article was reported in the 16th General Meeting of the Association of National Hospitals and Sanatoriums at Sapporo)
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