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Falta de estmulo enteral La deprivacin de nutrientes en la luz disminuye la circulacin enteroheptica de cidos biliares y disminuye la produccin de hormonas GI (tabla IV) que se estimulan habitualmente con la ingesta oral, como son la colecistoquinina, la secretina, la gastrina y el glucagn, estimulantes del flujo biliar (tabla V) 49, 50