Page 165 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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D.  Malabsorption of Fat

                                   Vago-
                                    tomy
               Achlorhydria
                          Billroth I
               Intestinal
                stasis                            Gastrinoma
                                         Billroth II  (Zollinger-Ellison)
                                Gastric resection
                           Desynchronization of                        Maldigestion and Malabsorption II
                            chyme emptying
            Bacterial colonization  and
            of small intestine  bile  pankreatic     Chronic pancreatitis,
                           secretion  secretion     pancreatic carcinoma,
                                                     pancreatic resection,
                                                     cystic fibrosis, etc.
                       Bile salt
                     deconjugation
                                                       –
                                             Pancreatic HCO 3 secretion
             Liver damage                                              Plate 6.11
                                          Duodenal
                     Bile salt              pH
          Cholestasis,  synthesis
          biliary tract
          occlusion
                                          Lipase
                                          inactivation
                                                     Diffuse small
                                                    intestinal disease
                                Bile salt
        Ileum resection       precipitation
                                            Pancreas
                                            stimulation   Abetalipo-
               Bile salt                                  proteinemia
              resorption                                  Obstruction of
                                                          lymphatic
                                                          vessels
                    Bile salt deficiency  Lipase deficiency  Ischemia

                        Abnormal  Maldigestion of fat
                      micellar formation          Fat
                                                 removal

                          Fat malabsorption
             Vitamin K deficiency  Vitamin D deficiency
                                                  Steatorrhea
                Bleeding  Osteomalacia  Weight loss                   155

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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