Answer D.
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Iron, like other divalent cations, is absorbed proximally in the duodenum and upper jejunum. Because sprue is a proximal intestinal disorder, patients may malabsorb iron. There is also recent
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evidence that patients with sprue may lose iron. The rare Crohn’s disease patient with proximal intestinal disease may malabsorb iron; more often these patients have colonic blood loss from inflammation. Patients with a Bilroth II gastrojejunostomy bypass the main intestinal absorptive surface for iron uptake. Chronic pancreatitis does not influence iron absorption.
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