Abstract |
Tc-99m-Pertechnetate (TcO4) is concentrated by the
stomach after intravenous injection, allowing the
detection of ectopic gastric mucosa. It has been used
to develop a noninvasive test of gastric secretion.
However the cellular site of concentration is still
controversial, that is whether mucin-secreting
epithelial cell or acid-secreting parietal cell. This
study is planned to investigate the effects of
cimetidine and gastric acidity on the retention of TcO4
in the gastric wall of the rat. Also we further
attempted to clarify the uptake and secreting cell of
TcO4 in the gastric mucosa. One hundred rats were
divided into two groups, preliminary (40 rats) and main
examination group (60 rats). Preliminary examination
group was composed of fasting group (20 rats) for the
detection of the time for reaching stable TcO4
retention ratio in gastric wall and post-prandial group
(20 rats) for the detection of the time for reaching
the maximal gastric acidity. Main examination group was
composed of fasting group (30 rats), which was
subdivided into control group (10 rats), cimetidine
group (10 rats), Mylantaⓡ group (10 rats) and post-
prandial group (30 rats), which was subaivided into 90
min group (10 rats), 90 min cimetidine group (10 rats),
and 120 min group (10 rats). Retention ratio (%) of
TcO4 in the gastric wall and the pH of the gastric
contents were measured in the extracted stomach of the
six groups. Gastric wail retention ratio of TcO4 was
calculated by the gastric wall radioactivity (cpm)
divided by total gastric radioactivity (cpm) at 30 mins
after intravenous injection of 0.4 mCi of TcO4. The
results were as follows: 1) The time required for
reaching stable TcO4 retention ratio and the lowest
gastric PH were 30 min and 90 min, respectively. 2) In
the fasting group, the gastric wall retention ratio of
TcO4 was significantly increased in the cimetidine
group, compared with the control group (P〈0.01).
However there was no significant difference between the
control and Mylantaⓡ group. 3) The TcO4 retention
ratio and gastric pH were well correlated in the post-
prandial 120 min group (r=0.7112, p〈0.05), in the
post-prandial 90 min and 90 min cimetidine groups
correlated poorly. However, there was no correlation in
the three fasting groups at all. Referring the above
results, we infer that TcO4 is secreted into the
gastric lumen by both parietal and non-parietal cells,
with dominant non-parietal TcO4 secretion in the
fasting state and dominant parietal TcO4 secretion in
the stimulated state. |