00:01
Hello everyone, here the question is that the patient b has gastric bypass surgery, there is b12 deficiency after a few years of the bypass surgery.
00:16
The reason for this is the failure of separation of vitamin b12 from the foodstuffs and to a failure of absorption of failure of absorption of crystalline vitamin b12 in the presence of intrinsic factor.
01:13
So, it is the malabsorption of the b12 that results into the b12 deficiency.
01:21
The second case here is the patient c who is suffering from crohn's disease which leads to terminal ileal resection.
01:31
Question is what is terminal ileal resection? so, here we need to understand that in this the distal part of the small intestine called the ileum which is about 15 centimeter is removed that is the distal part is called terminal ileum which is removed.
02:05
So, here it is the process of removal of terminal ileum surgical removal of terminal ileum.
02:26
Now, the question key part is what is crohn's disease? crohn's disease is basically chronic inflammation of the balls.
02:57
So, it is the inflammatory ball disease that affects the lining of digestive tract that can narrow hence can block the flow of digestive content is often called stricture...