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Ileo-cecal Valve
The ileocecal valve (ileal papilla, ileocaecal valve, Tulp's valve, Tulpius valve, Bauhin's valve, ileocecal eminence, valve of Varolius or colic valve) is a sphincter muscle valve that separates the small intestine and the large intestine. Its critical function is to limit the reflux of colonic contents into the ileum. Approximately two liters of fluid enters the colon daily through the ileocecal valve. Microanatomy The histology of the ileocecal valve shows an abrupt change from a villous mucosa pattern of the ileum to a more colonic mucosa. A thickening of the muscularis mucosa, which is the smooth muscle tissue found beneath the mucosal layer of the digestive tract. A thickening of the muscularis externa is also noted. There is also a variable amount of lymphatic tissue found at the valve. The ileocecal valve has a papillose structure. Clinical significance Colonoscopy During colonoscopy, the ileocecal valve is used, along with the appendiceal orifice, in the identifi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cecum
The cecum or caecum is a pouch within the peritoneum that is considered to be the beginning of the large intestine. It is typically located on the right side of the body (the same side of the body as the appendix (anatomy), appendix, to which it is joined). The word cecum (, plural ceca ) stems from the Latin ''wikt:caecus, caecus'' meaning blindness, blind. It receives chyme from the ileum, and connects to the ascending colon of the large intestine. It is separated from the ileum by the ileocecal valve (ICV) or Bauhin's valve. It is also separated from the Large intestine#Structure, colon by the cecocolic junction. While the cecum is usually intraperitoneal, the ascending colon is Retroperitoneal space, retroperitoneal. In herbivores, the cecum stores food material where bacteria are able to break down the cellulose. In humans, the cecum is involved in absorption of salts and electrolytes and lubricates the solid waste that passes into the large intestine. Structure Develo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Smooth Muscle
Smooth muscle is an involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations (''bands'' or ''stripes''). It is divided into two subgroups, single-unit and multiunit smooth muscle. Within single-unit muscle, the whole bundle or sheet of smooth muscle cells contracts as a syncytium. Smooth muscle is found in the walls of hollow organs, including the stomach, intestines, bladder and uterus; in the walls of passageways, such as blood, and lymph vessels, and in the tracts of the respiratory, urinary, and reproductive systems. In the eyes, the ciliary muscles, a type of smooth muscle, dilate and contract the iris and alter the shape of the lens. In the skin, smooth muscle cells such as those of the arrector pili cause hair to stand erect in response to cold temperature or fear. Structure Gross anatomy Smooth muscle is grouped into two types: single-unit smooth muscle, also known as visceral smooth muscle, and multiunit smooth muscle. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nicolaes Tulp
Nicolaes Tulp (9 October 1593 – 12 September 1674) was a Dutch surgeon and mayor of Amsterdam. Tulp was well known for his upstanding moral character and as the subject of Rembrandt's famous painting ''The Anatomy Lesson of Dr. Nicolaes Tulp''. Life Born Claes Pieterszoon, he was the son of a prosperous merchant active in civic affairs in Amsterdam. From 1611 to 1614 he studied medicine in Leiden. When he returned to Amsterdam he became a respected doctor and in 1617 he married Aagfe Van der Voegh. An ambitious young man, he adopted the tulip as his heraldric emblem and changed his name to Nicolaes (a more proper version of the name ''Claes'') Tulp. He began working in local politics as city treasurer, and in 1622, became a magistrate in Amsterdam. Career as a physician The career of Tulp matched the success of Amsterdam. As the population of Amsterdam grew from 30,000 in 1580 to 210,000 in 1650, Tulp's career as a doctor and politician made him a man of influence. He drove ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Netherlands
) , anthem = ( en, "William of Nassau") , image_map = , map_caption = , subdivision_type = Sovereign state , subdivision_name = Kingdom of the Netherlands , established_title = Before independence , established_date = Spanish Netherlands , established_title2 = Act of Abjuration , established_date2 = 26 July 1581 , established_title3 = Peace of Münster , established_date3 = 30 January 1648 , established_title4 = Kingdom established , established_date4 = 16 March 1815 , established_title5 = Liberation Day (Netherlands), Liberation Day , established_date5 = 5 May 1945 , established_title6 = Charter for the Kingdom of the Netherlands, Kingdom Charter , established_date6 = 15 December 1954 , established_title7 = Dissolution of the Netherlands Antilles, Caribbean reorganisation , established_date7 = 10 October 2010 , official_languages = Dutch language, Dutch , languages_type = Regional languages , languages_sub = yes , languages = , languages2_type = Reco ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tumor
A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists in growing abnormally, even if the original trigger is removed. This abnormal growth usually forms a mass, when it may be called a tumor. ICD-10 classifies neoplasms into four main groups: benign neoplasms, in situ neoplasms, malignant neoplasms, and neoplasms of uncertain or unknown behavior. Malignant neoplasms are also simply known as cancers and are the focus of oncology. Prior to the abnormal growth of tissue, as neoplasia, cells often undergo an abnormal pattern of growth, such as metaplasia or dysplasia. However, metaplasia or dysplasia does not always progress to neoplasia and can occur in other conditions as well. The word is from Ancient Greek 'new' and 'formation, creation'. Types A neoplasm can be benign, potentially m ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Double-balloon Enteroscopy
Double-balloon enteroscopy, also known as push-and-pull enteroscopy, is an endoscopic technique for visualization of the small bowel. It was developed by Hironori Yamamoto in 2001. It is novel in the field of diagnostic gastroenterology as it is the first endoscopic technique that allows for the entire gastrointestinal tract to be visualized in real time. Technique The technique involves the use of a balloon at the end of a special enteroscope camera and an overtube, which is a tube that fits over the endoscope, and which is also fitted with a balloon. The procedure is usually done under general anesthesia, but may be done with the use of conscious sedation. The enteroscope and overtube are inserted through the mouth and passed in conventional fashion (that is, as with gastroscopy) into the small bowel. Following this, the endoscope is advanced a small distance in front of the overtube and the balloon at the end is inflated. Using the assistance of friction at the interface o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bow And Arrow Sign
The bow and arrow sign is an endoscopic sign for determining the location of the ileocecal valve during colonoscopy. Identifying the ileocecal valve in a colonoscopy is important, as it indicates that the entire colon has been visualized. The identifiable landmarks in the cecum are the appendiceal orifice—which is a curvilinear indent indicating the location of the appendix from the lumen of the bowel—and the ileocecal valve, which appears as a puckering in the most distal fold of the cecum. The bow and arrow sign uses the curve of the appendiceal orifice to point toward the direction of the ileocecal valve, as if it were a bow guiding an arrow. The colonoscope can be passed in this direction in order to enter the terminal ileum.Cotton PB, Williams CB. ''Practical Gastrointestinal Endoscopy'' Blackwell Publishers, London, 1996 This is used as one of two identifiable landmarks of the colon (the other being the anus The anus (Latin, 'ring' or 'circle') is an opening ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vermiform Appendix
The appendix (or vermiform appendix; also cecal r caecalappendix; vermix; or vermiform process) is a finger-like, blind-ended tube connected to the cecum, from which it develops in the embryo. The cecum is a pouch-like structure of the large intestine, located at the junction of the small and the large intestines. The term "vermiform" comes from Latin and means "worm-shaped". The appendix was once considered a vestigial organ, but this view has changed since the early 2000s. Research suggests that the appendix may serve an important purpose. In particular, it may serve as a reservoir for beneficial gut bacteria. Structure The human appendix averages in length but can range from . The diameter of the appendix is , and more than is considered a thickened or inflamed appendix. The longest appendix ever removed was long. The appendix is usually located in the lower right quadrant of the abdomen, near the right hip bone. The base of the appendix is located beneath the ileoce ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Colonoscopy
Colonoscopy () or coloscopy () is the endoscopic examination of the large bowel and the distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus. It can provide a visual diagnosis (''e.g.,'' ulceration, polyps) and grants the opportunity for biopsy or removal of suspected colorectal cancer lesions. Colonoscopy can remove polyps smaller than one millimeter. Once polyps are removed, they can be studied with the aid of a microscope to determine if they are precancerous or not. Colonoscopy is similar to sigmoidoscopy—the difference being related to which parts of the colon each can examine. A colonoscopy allows an examination of the entire colon (1,200–1,500mm in length). A sigmoidoscopy allows an examination of the distal portion (about 600mm) of the colon, which may be sufficient because benefits to cancer survival of colonoscopy have been limited to the detection of lesions in the distal portion of the colon. [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Major Duodenal Papilla
Major (commandant in certain jurisdictions) is a military rank of commissioned officer status, with corresponding ranks existing in many military forces throughout the world. When used unhyphenated and in conjunction with no other indicators, major is one rank above captain, and one rank below lieutenant colonel. It is considered the most junior of the field officer ranks. Background Majors are typically assigned as specialised executive or operations officers for battalion-sized units of 300 to 1,200 soldiers while in some nations, like Germany, majors are often in command of a company. When used in hyphenated or combined fashion, the term can also imply seniority at other levels of rank, including ''general-major'' or ''major general'', denoting a low-level general officer, and ''sergeant major'', denoting the most senior non-commissioned officer (NCO) of a military unit. The term ''major'' can also be used with a hyphen to denote the leader of a military band such as i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lymphatic Tissue
The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid organs, and lymphoid tissues. The vessels carry a clear fluid called lymph (the Latin word ''lympha'' refers to the deity of fresh water, "Lympha") back towards the heart, for re-circulation. Unlike the circulatory system that is a closed system, the lymphatic system is open. The human circulatory system processes an average of 20 litres of blood per day through capillary filtration, which removes plasma from the blood. Roughly 17 litres of the filtered blood is reabsorbed directly into the blood vessels, while the remaining three litres are left in the interstitial fluid. One of the main functions of the lymphatic system is to provide an accessory return route to the blood for the surplus three litres. The other main function is that of i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Muscularis Externa
The muscular layer (muscular coat, muscular fibers, muscularis propria, muscularis externa) is a region of muscle in many organs in the vertebrate body, adjacent to the submucosa. It is responsible for gut movement such as peristalsis. The Latin, tunica muscularis, may also be used. Structure It usually has two layers of smooth muscle: * inner and "circular" * outer and "longitudinal" However, there are some exceptions to this pattern. * In the stomach there are three layers to the muscular layer. Stomach contains an additional oblique muscle layer just interior to circular muscle layer. * In the upper esophagus, part of the externa is ''skeletal muscle'', rather than smooth muscle. * In the vas deferens of the spermatic cord, there are three layers: inner longitudinal, middle circular, and outer longitudinal. * In the ureter the smooth muscle orientation is opposite that of the GI tract. There is an inner longitudinal and an outer circular layer. The inner layer of the muscul ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
