Terminal ileum of a 43-year-old male was removed. Now he is having steatorrhea and deficiency of fat soluble vitamins. What has happened?
  1. < 100 cm of terminal ileum is removed
  2. >100 cm of terminal ileum is removed
  3. <50 cm of terminal ileum is removed
  4. None of the above
Explanation
Answer: B - Short gut syndrome occurs with the removal of the small part of the small intestine results in a malabsorptive condition. Symptoms are according to the amount of bowel removed and the area of resection: Basically, when > 100 cm of terminal ileum is removed, bile salts are not there to absorb the fat in the gut and thus deficiency of fat soluble vitamins and steatorrhea occurs.
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