Answers to Chloe’s Story
Anatomy and Physiology II
A. The peritoneum is the largest serous membrane of the body which contains the greater omentum, the largest peritoneal fold. The greater omentum normally contains a considerable amount of adipose tissue. B. Swallowing is the involuntary contraction of pharyngeal muscles which sets peristalsis begins with coordinated contractions and relaxation of muscles in the esophagus and into the stomach, where Chloe just had surgery. C. The stomach empties quicker due to the bypass of the duodenum whe the most, if not all the churning takes place. D. The protein would be flushed out of the body quicker then usual with high vulnerability of malabsorption. E. Lipase works with bile excreted from the liver breaking down fat molecules. F. A change in diet, no longer consuming high fatty and high cholesterol foods. G. Nutrients that are altered would be: Calcium, Copper, Folic Acid, Iron, Vit B12, Vit D and Zinc. H. B12 deficiency will lead to anemia, neuropathy, and cognitive difficulties. I. One long term risk is the development of postprandial hypoglycemia due to elevations in the incretin hormones glucogon-like peptide 1 and gastric inhibitory polypeptide, and their ability to stimulate additional insulin secretion. J. Total food intake and absorbance rate of food will rapidly decline after bypass surgery, and the number of acid-producing cells lining the stomach increases. Many patients then experience a condition known as achlorhydria, where there is not enough acid in the stomach. K. A full liquid diet is made up only of fluids and foods that are normally liquid and foods that turn to liquid when they are in room temperature, like ice cream. It also includes strained creamy soups, tea, juice, Jell-O, milkshakes, pudding, and popsicles.
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