Unit 6 Case Study 1: Chloe’s Story
Date: October 27, 2014
Which serous membrane in Chloe’s abdomen most likely contains the greatest amount of adipose tissue? The peritoneum is the largest serous membrane of the body and it contains the greater omentum, the largest peritoneal fold. The greater omentum generally contains a considerable amount of adipose tissue. The adipose tissue can greatly expand with weight gain
What involuntary muscular process initiated by deglutition of water may cause Chloe’s pain? Swallowing is the involuntary contraction of pharyngeal muscles which sets peristalsis and begins with coordinated contractions and relaxation of muscles in the esophagus and into the stomach, where she just had surgery.
Why might reduction of the size of Chloe’s stomach reduce her acid reflux?
The stomach empties quicker, because of the bypass of the duodenum where the most, if not all the churning takes place with digestive enzymes this will force the sphincter to emit the reflux.
How will protein digestion be affected by Chloe’s surgery? The proteins will be flushed out of the body quicker than usual with the high vulnerability of malabsorption. Pepsin begins the enzymatic digestion of the ingested proteins; they linger in the stomach longer than most of the ingested food and the end result of gastric protein digestion is a chyme of mostly polypeptides and some free amino acids to be absorbed in to the body. The Pancreatic Protease digests protein in the basic environment of the small intestine.
Which pancreatic enzymes would Chloe need to break down the fats in her nutrition drink? Lipase works with bile excreted from the liver, and it breaks down fat molecules.
Why might Chloe be at risk for gallstones (crystallized cholesterol which can block the flow of bile from the gallbladder)? A change in diet, and there will no longer consuming high fatty and high cholesterol laden foods and rapid weight loss. There will not be enough bile salts
References: Jenkins, G., & Kemnitz, C. (2007). Anatomy and Physiology: From Science to Life. Hoboken, NJ: Wiley. Gastric Bypass Surgery: Mayo Clinic. (n.d.). Retrieved October 24, 2014. Gastric bypass surgery: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved October 24, 2014.