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Elderly male with stomach cancer, has feeding tube and no gall bladder…
Elderly male with stomach cancer, has feeding tube and no gall bladder
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ENZYMES
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Pancreatic Amylaze
released by the pancreas and continues the digestion of starch into shorter strands of glucose, maltose, and individual glucose molecules
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Carboxypeptidase
restricted to breaking the bond only between and amino acid on the carboxyl and the remaining protein
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PHYSIOLOGY
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Gall Bladder
stores, concentrates, and releases bile that the liver produces
Stomach
in here the bolus is mixed with gastric secretions which include hydrochloric acid, digestive enzymes, and mucin. the muscularis helps move the food along.
Large Intestine
absorbs water, and some electrolytes from the remaining digested material. also stores fecal material until it's eliminated.
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Small Intestine
finishes chemical digestion and is responsible for absorbing almost all of the nutrients and a large percentage of the water.
the things being bypassed by the feeding tube in this individual are his esophagus, stomach, and duodenum
bypassing these organs means a lack of salivary amylase, hydrochloric acid, digestive enzymes, and mucin
with ought being able to chew and swallow food normally, the patients meals would have to be liquified and have extra nutrients.
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since certain enzymes are skipped the food must be broken down before and would most likely not be a bolus, meaning it would be more liquid than a wet mass, and lack chyme