Large Intestine

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🍂Anatomy 'āĻ° āĻœāĻ¨ā§āĻ¯ āĻĢāĻ°āĻœ āĻ•āĻžāĻœ āĻšāĻ˛ā§‹ Anatomical position.

Anatomical position :

This is the viscera of large intestine with the terminal part of the ileum.

1. Ileo-cecal junction lies postero-medially ; i.e. postero-medial to the caecum on the right side.

2. Left colic flexure is slightly higher than the right colic flexure.

3. Caecum lies higher level than the anal canal.🍂

🍀 Large gut - The large gut extends from the ileocaecal junction to the muco-cutaneous junction of the anal canal (pectinate line). 🍀

🍁āĻāĻ–āĻ¨ length and parts āĻ¨āĻŋā§Ÿā§‡ āĻœāĻžāĻ¨āĻž āĻ¯āĻžāĻ• -

It is about 1.5 meters or 6 feet long.

Subdivisions - The large gut consists of four parts -

1. Caecum and appendix

★Caecum is 6 cm long

★ Appendix is 2 to 20 cm

2. Colon

★ Ascending - 15 cm long

★ Transverse - 50 cm long

★ Descending - 25 cm long

★ Sigmoid - 40 cm long

3. Rectum - 12 cm

4. Anal canal - 3.8 āĻ¸ā§‡.āĻŽāĻŋ.🍁

🍂🍂 Functions -

1. It allows absorption of about 500ml of water per day

2. The digestion of cellulose takes place in large gut with the help of putrefaction bacteria

3. Normal flora of large gut synthesize vit B complex and vit K

4. The faeces are usually stored in the descending and sigmoid colon and are voided through the rectum and anal canal.🍂🍂

🍀🍀Large intestine āĻ•āĻŋāĻ¨ā§āĻ¤ā§ small intestine āĻāĻ° āĻšā§‡ā§Ÿā§‡ āĻ…āĻ¨ā§‡āĻ• āĻ›ā§‹āĻŸāĨ¤

āĻāĻ•ā§‡ large āĻŦāĻ˛āĻžāĻ° āĻ•āĻžāĻ°āĻ¨ luminal diameter.

Large gut āĻāĻ° storage function āĻāĻ° āĻ•āĻžāĻ°āĻŖā§‡ āĻāĻŸāĻŋāĻ° luminal diameter āĻŦā§œ āĻšā§Ÿā§‡ āĻĨāĻžāĻ•ā§‡āĨ¤

āĻāĻ–āĻžāĻ¨ā§‡ storage function āĻāĻ° āĻ•āĻžāĻ°āĻŖā§‡ dialation āĻšā§Ÿ āĻ…āĻ°ā§āĻĨāĻžā§Ž lumen dialect āĻšā§ŸāĨ¤ āĻ¤āĻžāĻ‡ large intestine āĻ luminal diameter āĻŦā§œ āĻšā§ŸāĨ¤đŸ€đŸ€

đŸŒŋđŸŒŋāĻāĻŦāĻžāĻ° cardinal features of large gut -

āĻāĻ–āĻ¨ cardinal features āĻŦāĻž characteristic features āĻŦāĻž morphological features āĻāĻ° āĻœāĻ¨ā§āĻ¯ āĻ‰āĻ¤ā§āĻ¤āĻ° āĻāĻ•āĻ‡ āĻšāĻŦā§‡āĨ¤

Cardinal features :

1. Taeniae coli : Aggregations of the longitudinal muscles of large gut ā§Š āĻŸāĻž thick bands produce āĻ•āĻ°ā§‡āĨ¤ āĻāĻ°āĻžāĻ‡ Taeniae coli.

āĻāĻ‡ taeniae coli vermiform appendix āĻ†āĻ° rectum āĻ āĻĨāĻžāĻ•ā§‡ āĻ¨āĻžāĨ¤

Position āĻāĻ° āĻœāĻ¨ā§āĻ¯ figure āĻĻā§‡āĻ–ā§āĻ¨āĨ¤

2. Sacculations or haustrations : taeniae coli āĻ¯ā§‡āĻ–āĻžāĻ¨ā§‡ āĻĨāĻžāĻ•ā§‡āĨ¤

3. Appendices epiploicae : Ceacum, appendix āĻ†āĻ° rectum āĻ›āĻžā§œāĻž āĻĒā§āĻ°ā§‹ large gut āĻ āĻĨāĻžāĻ•ā§‡āĨ¤

āĻ†āĻ°ā§‹ āĻ­āĻžāĻ˛ā§‹ āĻ­āĻžāĻŦā§‡ āĻŦā§āĻāĻžāĻ¨ā§‹āĻ° āĻœāĻ¨ā§āĻ¯ figure āĻĻā§‡ā§ŸāĻž āĻšāĻ˛ā§‹āĨ¤ đŸŒŋđŸŒŋ

🍀🍀 āĻāĻŦāĻžāĻ° taeniae coli āĻ¨āĻŋā§Ÿā§‡ āĻœāĻžāĻ¨āĻž āĻ¯āĻžāĻ•āĨ¤

→ The taeniae coli are three thick bands produced by the aggregations of the longitudinal muscles of the large gut.

The taeniae are absent in the vermiform appendix and in the rectum.

They are -

a) Taenia libera

b) Taenia mesocolica &

c) Taenia omentalis.

Importance of taeniae coli :

1) Caecum āĻ†āĻ° colon āĻāĻ° haustration produce āĻ•āĻ°ā§‡ peristalsis āĻ āĻ¸āĻžāĻšāĻžāĻ¯ā§āĻ¯ āĻ•āĻ°ā§‡āĨ¤

2) It serves as a guide for identification of vermiform appendix due to all the taenia coli converge towards the base of the appendix. 🍀🍀

🍂🍂āĻāĻŦāĻžāĻ° Caecum āĻ¨āĻŋā§Ÿā§‡ āĻœāĻžāĻ¨āĻž āĻ¯āĻžāĻ• -

Caecum is a large blind sac, forming the commencement of the large gut.

Types -

1) Foetal type - 2% ; Appendix arises as a straight tube from its apex.

2) Infantile type - 3% ; Appendix is attached to a depressed bottom.

3) Normal or adult type - 90% ; Appendix is situated about 2 cm below the ileo - caecal junction.

4) Exaggerated type - ( 4-5)% ; Appendix is close to the ileo - caecal junction. 🍂🍂

đŸŒŋđŸŒŋVermiform appendix -

It is a narrow worm - like tubular diverticulum arising from the postero - medial wall of the caecum about 2 cm below the ileocaecal junction, and is supposed by a peritoneal fold known as the meso - appendix.

Position āĻ†āĻ° types āĻ¨āĻŋā§Ÿā§‡ āĻœāĻžāĻ¨āĻž āĻ¯āĻžāĻ• -

1. Retro - caecal and retro - colic ( 12 O'clock)

2. Pelvic type ( 4 O'clock)

3. Subcaecal and paracolic ( 11 O'clock)

4. Splenic type ( 2 O'clock)

5. Promontoric type ( 3 O'clock) đŸŒŋđŸŒŋ

🌈 Nice to know -

💠 Gross features : Shorter and wider

💠 Appendices epiploicae : Present

💠 Taeniae coli : Present

💠 Sacculations : Present

💠 Distensibility : More

💠 Fixity : Greater part is fixed & immobile

💠 Villi : Absent

💠 Transverse mucosal folds : Obliterated when longitudinal muscle coat relaxes

💠 Goblet cells : Preponderant

💠 Crypts of Lieberkuhn : More numerous

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