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The function of the stomach is to breakdown the chewed food into a semi-fluid mass of partly digested food, known as chyme.***
Chyme is then pumped into the duodenum (first section of the small intestine). The rate of movement of the stomach contents (chyme) to the small intestine is balanced with the rate of pancreatic and biliary secretions, to permit efficient extraction of nutrients.***
***IMPORTANT NOTE: This process, which is completed in the stomach, duodenum (beginning of small intestine), and part of the jejunum (farther along part of small intestine), does not happen anymore after a RNY gastric bypass. After RNY the chewed food from the mouth goes into the small pouch that is left, which is then dumped directly into a farther along part of the small intestine. There are no pancreatic and biliary secretions coming into this part of the small intestines anymore. These secretions will not be available until the food reaches the common channel (the lower part of the “Y” connection. This is the malabsorptive part of the Roux en Y gastric bypass procedure.
A “normal” stomach also includes secretion of:
● Acid ● Intrinsic factor ● Pepsin ●Mucus ● Bicarbonate
These secretions are important for digestion. Normally very balanced, a mismatch of these secretions can lead to peptic ulcer disease.
In the RNY gastric bypass patient most of these secretions are no longer available for digestion, as the majority of the stomach has been separated from the pouch.
Terri
ObesityHelp Support Group Leader
www.wlsterrib.com
Terri
ObesityHelp Support Group Leader
www.wlsterrib.com