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Elderly male, stomach cancer, feeding tube into alimentary canal to bypass…
Elderly male, stomach cancer, feeding tube into alimentary canal to bypass esophagus, stomach, duodenum. Gallbladder removed.
Functions
Take food, break down nutrient molecules, absorb into blood streamh
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ALIMENTARY CANAL
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Organs: mouth, pharynx, esophagus, stomach, small & large intestine,anus
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Mouth
Ingest, mechanical breakdown, propulsion, digestion of polysaccharides
Salivary glands
Cleanse mouth,dissolve food chem. , moistens,breakdown of starch w/ amylase
Parotid, submandibular, sublingual
Serious cells, mucous cells
Salivary amylase, lysozyme, IgA antibodies, defense against microorganisms
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CELLS, chemical messenger
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Gastric secretion
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ACH. Stimulate HCI
Cephalic phase, gastric phase, intestinal phase
LIVER: function of bile
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Filter blood, cystic duct from gallbladder , portal triad: O2
SMALL INTESTINE: villi, microvilli, nutrients & electrolytes
Goblet cells, enteroendocrine cells,paneth cells, chyme mixed with bile
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LARGE INTESTINE
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Colon: retroperitoneal, ascending, transverse,descending
Internal,external sphincter
Deep crypts,mucus goblet cells
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Carbohydrates
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Salivary amylase, lactose,maltose sucrose
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PROTEINS
Polypeptide, small peptide, amino acid monomers
Lipids, emulsificationm break into fatty acids, monoglycer.
Brush border enzyme
Break into nitrogenous bases,pentode,sugars,phosphate ions
Fat soluble vitamins,water soluble C,B , B12 absorb by endocytosis
Ionic iron, mucosal cells w/ ferritin
Radiation therapy &chemo
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Neg. effect, dividing GI tract epithelium
Nausea,vomiting, diarrhea
Drain, granulation tissue at stoma site
Bowel obstruction, peristomal infections
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Take supplements nutrients orally, feeds limited
Low fat, high fiber,fruits,vegetables
Exercise, magnesium rich foods
Less digestive juice,absorb less
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Taste/smell less acute, periodontal disease
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