Resection of which intestinal segment causes marked electrolyte imbalance
Correct Answer: Jejunum
Description: Net absorption of electrolytes (Na, Cl, K, Ca) and water from ligated loops was studied at various intestinal sites in milk-fed lambs. The unidirectional fluxes of Na across the intestinal mucosa were also investigated using 22Na. Net Na and water absorption in the mid-jejunum were about two-fold higher than in the proximal and distal jejunum and the colon descendens. With the exception of the proximal jejunum, Na and Cl absorption did not differ significantly. The unidirectional Na fluxes in both directions were much higher in the proximal and mid-jejunum than in the distal jejunum and colon descendens. K was also absorbed most efficiently from the mid-jejunum. In the colon descendens mean net K absorption was about zero. Ca absorption in the upper and mid-jejunum exceeded that of the distal jejunum and colon descendens, where the values were close to zero. The results show that in the whole jejunum of young milk-fed lambs net absorptive fluxes of Na, Cl, K, Ca and water occur, whereas the colon descendens appears to play a role only in Na, Cl and water absorption. Ref: guyton and hall textbook of medical physiology 12 edition
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