Q:

Complications that may arise after total gastrectomy include

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 Complications that may arise after total gastrectomy include.


  1. Inadequate food intake.
  2. Depletion of vitamin B12 stores in the liver.
  3. Malabsorption of fat due to rapid intestinal transit.
  4. Impaired defaecation due to loss of the gastrocolic reflex.
  5. Inability to digest protein.

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A. True Due to loss of the ‘reservoir’ function of the stomach.

B. True Due to loss of gastric ‘intrinsic factor’, required for absorption of the vitamin.

C. True The mechanism regulating food delivery to the small intestine is lost.

D. False This ‘reflex’ is not essential for defaecation.

E. False Pancreatic enzymes can make up for the loss of pepsin.

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