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November 19, 1949, Vol 141, No. 12 >
Other Articles | November 19, 1949

A SIMPLIFIED CAFFEINE GASTRIC TEST MEAL FOR THE DIAGNOSIS OF PEPTIC ULCER

VERN H. MUSICK, M.D.; HOWARD C. HOPPS, M.D.; H. THOMPSON AVEY, M.D.; ARTHUR A. HELLBAUM, M.D.
JAMA. 1949;141(12):839-841. doi:10.1001/jama.1949.02910120027008.
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A simplified caffeine gastric test meal1 is reported at this time to fulfil the need for a practical test which may be used as a diagnostic procedure in evaluating the status of the patient with suspected peptic ulcer.

METHOD 

Aspiration of Gastric Juice.—  The patient reports to the office at 8 a. m. after having fasted a minimum of twelve hours. In addition, he has refrained from brushing his teeth or smoking and has avoided mental stress and emotional excitement.2A Levine tube is passed gently through a nostril into the stomach, and the entire gastric content evacuated and measured; a 10 cc. sample is tested for free and total hydrochloric acid. Six minutes later, aspirations are again commenced and continued for 4 minutes. The amount of free and total hydrochloric acid which has accumulated during this 10 minute period approaches the basal secretory level and serves as

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