Surgery MCQ 147

A 28-year-old patient is being evaluated for electrolyte imbalances. The gastroenterologist explains the mechanisms of sodium absorption in the gastrointestinal tract and mentions that sodium absorption is crucial for maintaining fluid and electrolyte balance.

Question:

Sodium absorption normally occurs in the:

A. Ileum and colon
B. Duodenum
C. Proximal jejunum
D. Stomach


The Correct Answer is: A. Ileum and colon

Explanation:

Ileum and colon:

Sodium absorption predominantly occurs in the ileum and colon. These segments of the gastrointestinal tract have specialized mechanisms and cellular structures for efficient sodium uptake. The colon, in particular, is highly effective in absorbing sodium, which is vital for maintaining fluid and electrolyte balance, especially in the context of overall water and electrolyte absorption.

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Explanation of Incorrect Options:

B. Duodenum:

While the duodenum is involved in the absorption of many nutrients and electrolytes, sodium absorption is not its primary function. The duodenum plays a more significant role in the digestion and absorption of fats, proteins, and carbohydrates.

C. Proximal jejunum:

The proximal jejunum is primarily responsible for the absorption of carbohydrates, proteins, and certain electrolytes, but it is not the main site for sodium absorption. While some sodium is absorbed here, it is not as significant as in the ileum and colon.

D. Stomach:

The stomach is primarily involved in the digestion of proteins and the mechanical breakdown of food. It secretes gastric acid and digestive enzymes but does not play a significant role in the absorption of sodium.

Given these considerations, the ileum and colon (Option A) are the primary sites for sodium absorption in the gastrointestinal tract, which is crucial for maintaining proper fluid and electrolyte balance.