Electrical potential of gastroduodenal mucosa measured by endoscopy

The gastroduodenal mucosa has a negative electrical potential with regard to the blood stream, as measured by a potentiometer connected to an intravenous and an intragastric electrode. The intragastric electrode can be positioned on various points of the gastroduodenal surface under direct vision through the forceps channel of the gastroduodenoscope. The values of potential differences were determined in various areas of the stomach and duodenum of normal humans and also over gastric ulcers, duodenal ulcers, gastritis and gastric erosions. A deflection of the potential difference value toward zero characterizes any disruption of the normal mucosa, even if only a few millimeters in diameter. Localized reproduce localized potential difference deflections. Atrophic lesions are represented by larger areas of abnormal potential difference levels. The direct multiple determinations of potential differences over mucosal areas in which lesions are suspected is a useful, simple tool for more objective gastroduodenoscopic diagnoses.