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Chapter 2 - Section 5: First Principles of Gastroenterology |
 | | In patients with steatorrhea, for example, luminal fatty acids are present and involved in the pathogenesis of diarrhea. |
 | | In some patients with steatorrhea, supplementation with medium-chain triglycerides may be useful because these are hydrolyzed more rapidly by pancreatic enzymes, do not require bile acid micelles for absorption, and are primarily directed to the portal rather than the lymphatic circulation. |
 | | Fat-soluble vitamins require bile acid micelles for absorption; thus, if steatorrhea is due to bile acid depletion (as might occur in the short bowel syndrome following surgical resection for extensive Crohn's disease), increased amounts of vitamins may be required. |
| gastroresource.com /GITextbook/en/Chapter2/2-5.htm (1351 words) |