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Your patient is a 39-year old high school guidance counselor who was diagnosed with Chrone’s disease...

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Medical Sciences

Your patient is a 39-year old high school guidance counselor whowas diagnosed with Chrone’s disease (an inflammatory bowel disease)when he was a teenager. Last year, he had a small bowel obstructionthat could not be relieved with nonsurgical procedures, and heunderwent emergency surgery that removed 80% of his ileum. Sincethe surgery, his stool has been oily. Why? (Hint: consider theconsequence of reduced enterohepatic circulation).

This patient also suffers from “bile acid diarrhea”. Why wouldthis surgery result in diarrhea? Why doesn’t this occur in ahealthy person?

Answer & Explanation Solved by verified expert
3.8 Ratings (602 Votes)
As the patient had undergone the surgery the major part of small intestine is removed due to which the enterohepatic circulation of the patient is reduced Due to which malabsorption of nutrients is taking place in    See Answer
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