GASTRIC JUICE ANALYSIS - soft rubber, plain catheter tip, w/ several

- Major constituents openings

 Water - swallowed or passed through the nostril
 HCl - marked @: 22-24 ‘’ L w/ a tape
 Inorganic constituents (electrolytes) - inserted after application of 1% cocaine HCl and
- Major Organic constituents the tube lubricated w/ mineral oil or a few drops
Enzymes such as: of glycerine
 Pepsin - syringe or Wangesteen suction apparatus may be
 Lipase used in collecting
 Rennin
 Gastricsin Note:
 Mucin
Other kinds of tubes:
Sources of Gastric Juice  Lyn tube
1. Chief/ Peptic cells
 Einborn tube
- Producing the protein-splitting enzyme pepsin  Jutte tube- has a stylet
2. Parietal/ Oxyntic cells  Miller-Abbot tube- has mercury @ the tip
- Producing the HCl and intrinsic factor and w/ SG of 13.6
(erythropoietic factor) of Castle (absence leads to
anemia) STIMULANTS FOR GASTRIC SECRETION
3. Goblet mucous secreting cells A. Test Meals:
1. Ewald’s Test Meal (bfast)
o Gastric glands  40 g bread & 400 mL water/ weak tea
-produce lipase (fat splitting enzyme w/c is w/o cream or sugar
active in alk. medium and inactive in acid  commonly used for routine gastric juice
medium) and rennin (enzyme that causes exam’n
curdling of milk) 2. Riegel’s Test Meal
 100-150 g mashed potatoes, 150-200 g
Types of Evacuation Tubes broiled beef steak & 400 cc of bouillon
1. Ewald’s or Boa’s Tube soup
- moderately hard but flexible rubber tube, about  mainly used to detect hypoacidity or
12 mm, inserted via propulsion achylia
- useful in case of poisoning 3. Boa’s Test Meal
- best used for short duration of evacuation and  1 tbs rolled oats in 1 qt of water, broiled
inexperienced patients to 1 pint & added w/ a pinch of salts
2. Rehfuss Tube  ideal to detect the presence of lactic
- soft rubber, about 3-4 mm (diameter) and acid in the gastric juice
swallowed by the aid of gravity  withdraw 15mins- 1hr after given
- 36’’ L and has three markings: 17, 23, & 30 ‘’ L 4. Heckman’s Test Meal
- catheter-like w/ gold or silver metal at the tip  80 ml freshly prep. egg albumin, 130
- collection via syringe attachment and duodenal mL dist. water & 2 drops of 2% sol’n of
contents collection methylene blue
3. Sawyer Tube  Dist. water + 4 g Witte’s peptone ->
- mod. soft rubber, 3-4 mm in diameter and 86 cm heat @ body temp -> filter
in L  easier to swallow
- three markings: 49, 65, & 81 cm in L 5. Dock’s Test Meal
- introduced via propulsion, usually connected to a  shredded whole wheat biscuit instead of
syringe for aspiration bread (lactic acid & yeast cells)
4. Kaslow Tube  modification of Ewald’s
- mod. soft rubber about 3-4 mm in diameter and 6. Fischer’s Test Meal
56 ‘’ L  Similar to Reigel, consisting of Ewald
- three markings: 18, 26, and 30 ‘’ L meal + 1 lb lean, chopped hamburg
stock, broiled and lightly seasoned
- same intro w/ Sawyer
 higher acidity values
 Fischer and Reigel meals could be
removed in 3-4 hrs after
5. Levin Tube

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 7. Lavine’s Test Meal (Alcohol)
 50 cc of 7% ethyl alcohol
 2% methylene blue/ methylthionine
chloride sol’n- added for more accurate
determination
 detects regurgitation of alkaline
material from the duodenum
8. Motor Test Meal
 spinach or raisins + 400 cc of water
9. Salzer Motility Test Meal
 1 ounce of roast beef or broiled
lambchop. 250 mL of milk. 50 g boiled
rice, and 1 soft boiled egg
 give an Ewald’s meal 4 hrs. later
 meat fibers & etc. from the first meal
indicate deficient gastric activity
10. Statis Meal
 2 ounces of half cooked rice and 12
well-chewed raisins
 Aspirate the stomach in AM and wash
w/ little dist. water-> examine for rice
starch and particles of raisin
 Supplanted by barium meal and
fluoroscopic exam’n
 simpler than Salzer meal

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