Digestive System Introduction Introduction Introduction
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The Anatomy of the Rectum and Anal Canal
BASIC SCIENCE identify the rectosigmoid junction with confidence at operation. The anatomy of the rectum The rectosigmoid junction usually lies approximately 6 cm below the level of the sacral promontory. Approached from the distal and anal canal end, however, as when performing a rigid or flexible sigmoid- oscopy, the rectosigmoid junction is seen to be 14e18 cm from Vishy Mahadevan the anal verge, and 18 cm is usually taken as the measurement for audit purposes. The rectum in the adult measures 10e14 cm in length. Abstract Diseases of the rectum and anal canal, both benign and malignant, Relationship of the peritoneum to the rectum account for a very large part of colorectal surgical practice in the UK. Unlike the transverse colon and sigmoid colon, the rectum lacks This article emphasizes the surgically-relevant aspects of the anatomy a mesentery (Figure 1). The posterior aspect of the rectum is thus of the rectum and anal canal. entirely free of a peritoneal covering. In this respect the rectum resembles the ascending and descending segments of the colon, Keywords Anal cushions; inferior hypogastric plexus; internal and and all of these segments may be therefore be spoken of as external anal sphincters; lymphatic drainage of rectum and anal canal; retroperitoneal. The precise relationship of the peritoneum to the mesorectum; perineum; rectal blood supply rectum is as follows: the upper third of the rectum is covered by peritoneum on its anterior and lateral surfaces; the middle third of the rectum is covered by peritoneum only on its anterior 1 The rectum is the direct continuation of the sigmoid colon and surface while the lower third of the rectum is below the level of commences in front of the body of the third sacral vertebra. -
Fecal Incontinence/Anal Incontinence
Fecal Incontinence/Anal Incontinence What are Fecal incontinence/ Anal Incontinence? Fecal incontinence is inability to control solid or liquid stool. Anal incontinence is the inability to control gas and mucous in addition to the inability to control stool. The symptoms range from mild release of gas to a complete loss of control. It is a common problem affecting 1 out of 13 women under the age of 60 and 1 out of 7 women over the age of 60. Men can also be have this condition. Anal incontinence is a distressing condition that can interfere with the ability to work, do daily activities and enjoy social events. Even though anal incontinence is a common condition, people are uncomfortable discussing this problem with family, friends, or doctors. They often suffer in silence, not knowing that help is available. Normal anatomy The anal sphincters and puborectalis are the primary muscles responsible for continence. There are two sphincters: the internal anal sphincter, and the external anal sphincter. The internal sphincter is responsible for 85% of the resting muscle tone and is involuntary. This means, that you do not have control over this muscle. The external sphincter is responsible for 15% of your muscle tone and is voluntary, meaning you have control over it. Squeezing the puborectalis muscle and external anal sphincter together closes the anal canal. Squeezing these muscles can help prevent leakage. Puborectalis Muscle Internal Sphincter External Sphincter Michigan Bowel Control Program - 1 - Causes There are many causes of anal incontinence. They include: Injury or weakness of the sphincter muscles. Injury or weakening of one of both of the sphincter muscles is the most common cause of anal incontinence. -
Rectum & Anal Canal
Rectum & Anal canal Dr Brijendra Singh Prof & Head Anatomy AIIMS Rishikesh 27/04/2019 EMBRYOLOGICAL basis – Nerve Supply of GUT •Origin: Foregut (endoderm) •Nerve supply: (Autonomic): Sympathetic Greater Splanchnic T5-T9 + Vagus – Coeliac trunk T12 •Origin: Midgut (endoderm) •Nerve supply: (Autonomic): Sympathetic Lesser Splanchnic T10 T11 + Vagus – Sup Mesenteric artery L1 •Origin: Hindgut (endoderm) •Nerve supply: (Autonomic): Sympathetic Least Splanchnic T12 L1 + Hypogastric S2S3S4 – Inferior Mesenteric Artery L3 •Origin :lower 1/3 of anal canal – ectoderm •Nerve Supply: Somatic (inferior rectal Nerves) Rectum •Straight – quadrupeds •Curved anteriorly – puborectalis levator ani •Part of large intestine – continuation of sigmoid colon , but lacks Mesentery , taeniae coli , sacculations & haustrations & appendices epiploicae. •Starts – S3 anorectal junction – ant to tip of coccyx – apex of prostate •12 cms – 5 inches - transverse slit •Ampulla – lower part Development •Mucosa above Houstons 3rd valve endoderm pre allantoic part of hind gut. •Mucosa below Houstons 3rd valve upto anal valves – endoderm from dorsal part of endodermal cloaca. •Musculature of rectum is derived from splanchnic mesoderm surrounding cloaca. •Proctodeum the surface ectoderm – muco- cutaneous junction. •Anal membrane disappears – and rectum communicates outside through anal canal. Location & peritoneal relations of Rectum S3 1 inch infront of coccyx Rectum • Beginning: continuation of sigmoid colon at S3. • Termination: continues as anal canal, • one inch below -
Organization of the Gastrointestinal Tract
Organization of the gastrointestinal tract Development of the Foregut, Midgut, and Hindgut Development of the alimentary canal It constitutes during the 4th week from 3 separate embryonic anlages (organs): - The stomodeum (primitive mouth) – develops on the cephalic end of the embryo, is limited by 5 frominences (frontonasal, 2 maxillary, 2 mandibular) ectoderm oropharyngeal membrane. - The primitive gut arises by incorporation of the dorsal part of the yolk sac into embryo during cephalocaudal and lateral folding of the embryo gut is connected to the yolk sac by means of the vitelline (omphalomesenteric) duct endoderm cloacal membrane - The proctodeum (anal pit) - develops on the caudal end of the embryo between future bases of lower limbs - ectoderm - while the ectoderm of the stomodeum and proctodeum as well as the endoderm of the gut differentiate into the epithelium of the alimentary canal, - The muscular and fibrous elements + visceral peritoneum derive from the splanchnic mesenchyma that surrounds the lining of the primitive gut. Development of associated glands: - (salivary glands, liver and pancreas) develop from the endoderm (ectoderm) that gives rise to specific cells (hepatocytes, exo- and endocrine cells of the pancreas (the parenchyma) DERIVATIVES OF THE PRIMITIVE GUT The foregut: . the pharynx and branchiogenic organs . the lower respiratory tract . the esophagus . the stomach . the duodenum proximal to the opening of the bile duct . the liver and pancreas + the biliary apparatus The midgut: . the small intestines, including the part of the duodenum distal to the opening of the bile duct . the caecum and appendix . the ascending colon . the transverse colon The hindgut: . the descending colon . the sigmoid colon . -
Vocabulario De Morfoloxía, Anatomía E Citoloxía Veterinaria
Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) Servizo de Normalización Lingüística Universidade de Santiago de Compostela COLECCIÓN VOCABULARIOS TEMÁTICOS N.º 4 SERVIZO DE NORMALIZACIÓN LINGÜÍSTICA Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) 2008 UNIVERSIDADE DE SANTIAGO DE COMPOSTELA VOCABULARIO de morfoloxía, anatomía e citoloxía veterinaria : (galego-español- inglés) / coordinador Xusto A. Rodríguez Río, Servizo de Normalización Lingüística ; autores Matilde Lombardero Fernández ... [et al.]. – Santiago de Compostela : Universidade de Santiago de Compostela, Servizo de Publicacións e Intercambio Científico, 2008. – 369 p. ; 21 cm. – (Vocabularios temáticos ; 4). - D.L. C 2458-2008. – ISBN 978-84-9887-018-3 1.Medicina �������������������������������������������������������������������������veterinaria-Diccionarios�������������������������������������������������. 2.Galego (Lingua)-Glosarios, vocabularios, etc. políglotas. I.Lombardero Fernández, Matilde. II.Rodríguez Rio, Xusto A. coord. III. Universidade de Santiago de Compostela. Servizo de Normalización Lingüística, coord. IV.Universidade de Santiago de Compostela. Servizo de Publicacións e Intercambio Científico, ed. V.Serie. 591.4(038)=699=60=20 Coordinador Xusto A. Rodríguez Río (Área de Terminoloxía. Servizo de Normalización Lingüística. Universidade de Santiago de Compostela) Autoras/res Matilde Lombardero Fernández (doutora en Veterinaria e profesora do Departamento de Anatomía e Produción Animal. -
Name: David Daniella Christabel Matric Number: 18/MHS03/002 Department: Anatomy College: Medicine and Health Sciences Course Code: Ana 212
Name: David Daniella Christabel Matric Number: 18/MHS03/002 Department: Anatomy College: Medicine And Health Sciences Course Code: Ana 212 Question: Discuss the anal canal. The anal canal is the terminal segment of the large intestine between the rectum and the anus. The anal canal is located within the anal triangle of the perineum between the right and left ischioanal fosse. It is the final segment of the gastrointestinal tract, around 4cm in length. The canal begins as a continuation of the rectum and passes inferoposteriorly to terminate at the anus. Anal canal is traditionally divided into two segments, upper and lower, separated by the pectinate line also known as the dentate line. Except during defecation, the anal canal is collapsed by the internal and external sphincters to prevent the passage of faecal material. The anal canal is surrounded by internal and external anal sphincters, which play a crucial role in the maintenance of the faecal continence. • Internal Anal Sphincters: surrounds the upper 2/3 of the anal canal. It is formed from a thickening of the involuntary circular smooth muscle in the bowel wall. • External Anal Sphincter: voluntary muscle that surrounds the lower 2/3 of the anal canal (and so overlaps with the internal sphincter). It blends superiorly with the puborecrtalis muscle of the pelvic floor. At the junction of the rectum and the anal canal, there is a muscular ring known as the anorectal ring. It is formed by the fusion of the internal anal sphincter, external anal sphincter and puborectalis muscle, and is palpable on digital rectal examination. -
48 Anal Canal
Anal Canal The rectum is a relatively straight continuation of the colon about 12 cm in length. Three internal transverse rectal valves (of Houston) occur in the distal rectum. Infoldings of the submucosa and the inner circular layer of the muscularis externa form these permanent sickle- shaped structures. The valves function in the separation of flatus from the developing fecal mass. The mucosa of the first part of the rectum is similar to that of the colon except that the intestinal glands are slightly longer and the lining epithelium is composed primarily of goblet cells. The distal 2 to 3 cm of the rectum forms the anal canal, which ends at the anus. Immediately proximal to the pectinate line, the intestinal glands become shorter and then disappear. At the pectinate line, the simple columnar intestinal epithelium makes an abrupt transition to noncornified stratified squamous epithelium. After a short transition, the noncornified stratified squamous epithelium becomes continuous with the keratinized stratified squamous epithelium of the skin at the level of the external anal sphincter. Beneath the epithelium of this region are simple tubular apocrine sweat glands, the circumanal glands. Proximal to the pectinate line, the mucosa of the anal canal forms large longitudinal folds called rectal columns (of Morgagni). The distal ends of the rectal columns are united by transverse mucosal folds, the anal valves. The recess above each valve forms a small anal sinus. It is at the level of the anal valves that the muscularis mucosae becomes discontinuous and then disappears. The submucosa of the anal canal contains numerous veins that form a large hemorrhoidal plexus. -
Vestibule Lingual Frenulum Tongue Hyoid Bone Trachea (A) Soft Palate
Mouth (oral cavity) Parotid gland Tongue Sublingual gland Salivary Submandibular glands gland Esophagus Pharynx Stomach Pancreas (Spleen) Liver Gallbladder Transverse colon Duodenum Descending colon Small Jejunum Ascending colon intestine Ileum Large Cecum intestine Sigmoid colon Rectum Appendix Anus Anal canal © 2018 Pearson Education, Inc. 1 Nasopharynx Hard palate Soft palate Oral cavity Uvula Lips (labia) Palatine tonsil Vestibule Lingual tonsil Oropharynx Lingual frenulum Epiglottis Tongue Laryngopharynx Hyoid bone Esophagus Trachea (a) © 2018 Pearson Education, Inc. 2 Upper lip Gingivae Hard palate (gums) Soft palate Uvula Palatine tonsil Oropharynx Tongue (b) © 2018 Pearson Education, Inc. 3 Nasopharynx Hard palate Soft palate Oral cavity Uvula Lips (labia) Palatine tonsil Vestibule Lingual tonsil Oropharynx Lingual frenulum Epiglottis Tongue Laryngopharynx Hyoid bone Esophagus Trachea (a) © 2018 Pearson Education, Inc. 4 Visceral peritoneum Intrinsic nerve plexuses • Myenteric nerve plexus • Submucosal nerve plexus Submucosal glands Mucosa • Surface epithelium • Lamina propria • Muscle layer Submucosa Muscularis externa • Longitudinal muscle layer • Circular muscle layer Serosa (visceral peritoneum) Nerve Gland in Lumen Artery mucosa Mesentery Vein Duct oF gland Lymphoid tissue outside alimentary canal © 2018 Pearson Education, Inc. 5 Diaphragm Falciform ligament Lesser Liver omentum Spleen Pancreas Gallbladder Stomach Duodenum Visceral peritoneum Transverse colon Greater omentum Mesenteries Parietal peritoneum Small intestine Peritoneal cavity Uterus Large intestine Cecum Rectum Anus Urinary bladder (a) (b) © 2018 Pearson Education, Inc. 6 Cardia Fundus Esophagus Muscularis Serosa externa • Longitudinal layer • Circular layer • Oblique layer Body Lesser Rugae curvature of Pylorus mucosa Greater curvature Duodenum Pyloric Pyloric sphincter antrum (a) (valve) © 2018 Pearson Education, Inc. 7 Fundus Body Rugae of mucosa Pyloric Pyloric (b) sphincter antrum © 2018 Pearson Education, Inc. -
The Digestive System Overview of the Digestive System • Organs Are Divided Into Two Groups the Alimentary Canal and Accessory
C H A P T E R 23 The Digestive System 1 Overview of the Digestive System • Organs are divided into two groups • The alimentary canal • Mouth, pharynx, and esophagus • Stomach, small intestine, and large intestine (colon) • Accessory digestive organs • Teeth and tongue • Gallbladder, salivary glands, liver, and pancreas 2 The Alimentary Canal and Accessory Digestive Organs Mouth (oral cavity) Parotid gland Tongue Sublingual gland Salivary glands Submandibular gland Esophagus Pharynx Stomach Pancreas (Spleen) Liver Gallbladder Transverse colon Duodenum Descending colon Small intestine Jejunum Ascending colon Ileum Cecum Large intestine Sigmoid colon Rectum Anus Vermiform appendix Anal canal Figure 23.1 3 1 Digestive Processes • Ingestion • Propulsion • Mechanical digestion • Chemical digestion • Absorption • Defecation 4 Peristalsis • Major means of propulsion • Adjacent segments of the alimentary canal relax and contract Figure 23.3a 5 Segmentation • Rhythmic local contractions of the intestine • Mixes food with digestive juices Figure 23.3b 6 2 The Peritoneal Cavity and Peritoneum • Peritoneum – a serous membrane • Visceral peritoneum – surrounds digestive organs • Parietal peritoneum – lines the body wall • Peritoneal cavity – a slit-like potential space Falciform Anterior Visceral ligament peritoneum Liver Peritoneal cavity (with serous fluid) Stomach Parietal peritoneum Kidney (retroperitoneal) Wall of Posterior body trunk Figure 23.5 7 Mesenteries • Lesser omentum attaches to lesser curvature of stomach Liver Gallbladder Lesser omentum -
Functional Human Morphology (2040) & Functional Anatomy of the Head, Neck and Trunk (2130)
Functional Human Morphology (2040) & Functional Anatomy of the Head, Neck and Trunk (2130) Gastrointestinal & Urogenital Systems Recommended Text: TEXTBOOK OF ANATOMY: ROGERS Published by Churchill Livingstone (1992) 1 HUMB2040/ABD/SHP/97 2 Practical class 1 GASTROINTESTINAL TRACT OBJECTIVES 1. Outline the support provided by the bones, muscles and fasciae of the abdomen and pelvis which contribute to the support and protection of the gastrointestinal tract. 2. Define the parietal and visceral peritoneum and know which organs are suspended within the peritoneum and which are retroperitoneal. 3. Understand the arrangement of the mesenteries and ligaments through which vessels and nerves reach the organs. 4. Outline the gross structures, anatomical relations and functional significance of the major functional divisions of the gastrointestinal tract. Background reading Rogers: Chapter 16: The muscles and movements of the trunk 29: The peritoneal cavity 30: Oesophagus and Stomach 31: Small and large intestines 3 HUMB2040/ABD/SHP/97 4 Abdominopelvic regions The abdominopelvic cavity extends from the inferior surface of the diaphragm to the superior surface of the pelvic floor (levator ani), and contains the majority of the gastrointestinal tract from the terminal portion of the oesophagus to the middle third of the rectum. Its contents are protected from injury by three structures: the lower bony and cartilagineous ribs (which will be covered in the next part of the course), the muscles of the lateral and anterior abdominal body wall and the bony pelvis. The pelvis serves to (a) surround and protect the pelvic contents, such as the lower portion of the gastrointestinal tract and urogenital organs, (b) provide areas for muscle attachments, and (c) transfer the weight of the trunk to the lower extremities. -
Normal Gross and Histologic Features of the Gastrointestinal Tract
NORMAL GROSS AND HISTOLOGIC 1 FEATURES OF THE GASTROINTESTINAL TRACT THE NORMAL ESOPHAGUS left gastric, left phrenic, and left hepatic accessory arteries. Veins in the proximal and mid esopha- Anatomy gus drain into the systemic circulation, whereas Gross Anatomy. The adult esophagus is a the short gastric and left gastric veins of the muscular tube measuring approximately 25 cm portal system drain the distal esophagus. Linear and extending from the lower border of the cri- arrays of large caliber veins are unique to the distal coid cartilage to the gastroesophageal junction. esophagus and can be a helpful clue to the site of It lies posterior to the trachea and left atrium a biopsy when extensive cardiac-type mucosa is in the mediastinum but deviates slightly to the present near the gastroesophageal junction (4). left before descending to the diaphragm, where Lymphatic vessels are present in all layers of the it traverses the hiatus and enters the abdomen. esophagus. They drain to paratracheal and deep The subdiaphragmatic esophagus lies against cervical lymph nodes in the cervical esophagus, the posterior surface of the left hepatic lobe (1). bronchial and posterior mediastinal lymph nodes The International Classification of Diseases in the thoracic esophagus, and left gastric lymph and the American Joint Commission on Cancer nodes in the abdominal esophagus. divide the esophagus into upper, middle, and lower thirds, whereas endoscopists measure distance to points in the esophagus relative to the incisors (2). The esophagus begins 15 cm from the incisors and extends 40 cm from the incisors in the average adult (3). The upper and lower esophageal sphincters represent areas of increased resting tone but lack anatomic landmarks; they are located 15 to 18 cm from the incisors and slightly proximal to the gastroesophageal junction, respectively. -
Dynamic Colon Model (DCM): a Cine-MRI Informed Biorelevant in Vitro Model of the Human Proximal Large Intestine Characterized by Positron Imaging Techniques
pharmaceutics Article Dynamic Colon Model (DCM): A Cine-MRI Informed Biorelevant In Vitro Model of the Human Proximal Large Intestine Characterized by Positron Imaging Techniques Konstantinos Stamatopoulos 1,* , Sharad Karandikar 2, Mark Goldstein 3, Connor O’Farrell 1, Luca Marciani 4 , Sarah Sulaiman 4 , Caroline L. Hoad 5, Mark J. H. Simmons 1 and Hannah K. Batchelor 6,7 1 School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; [email protected] (C.O.); [email protected] (M.J.H.S.) 2 Department of Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK; [email protected] 3 Department of Radiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK; [email protected] 4 Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham NG7 2UH, UK; [email protected] (L.M.); [email protected] (S.S.) 5 Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham NG7 2QX, UK; [email protected] 6 Institute of Clinical Sciences, College of Medical and Dental Sciences, Medical School Building, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; [email protected] 7 Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, 161 Cathedral Street, Glasgow G4 0RE, UK * Correspondence: [email protected] or [email protected]; Tel.: +44-0121-4145-354 Received: 8 June 2020; Accepted: 10 July 2020; Published: 13 July 2020 Abstract: This work used in vivo MRI images of human colon wall motion to inform a biorelevant Dynamic Colon Model (DCM) to understand the interplay of wall motion, volume, viscosity, fluid, and particle motion within the colon lumen.