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Толстая кишка
Толстая кишка делится на три основных отдела: слепую кишку, ободочную кишку и прямую кишку. Простираясь от илеоцекального клапана до ануса, она обрамл…
Толстая кишка окружает тонкую кишку с трех сторон и простирается от илеоцекального клапана до анального отверстия.
Толстая кишка начинается в слепой кишке, расширенном мешочке в нижней правой части брюшной полости. Илеоцекальный клапан разделяет подвздошную и слепую кишку, контролируя поток материалов из тонкой кишки в толстую.
Спиральная трубка, известная как аппендикс, прикреплена к заднемедиальной поверхности слепой кишки.
Двигаясь вверх, слепая кишка сливается с толстой кишкой, которая делится на восходящую, поперечную, нисходящую и сигмовидную области.
Толстая кишка поднимается вверх с правой стороны, образуя правый коликовый изгиб возле печени. Затем она продолжается как поперечная ободочная кишка и изгибается вниз возле селезенки, когда изгибаются левые колики, продолжая вниз как нисходящая ободочная кишка.
Терминальная сигмовидная кишка заканчивается в прямой кишке, которая продолжается как анальный канал и заканчивается в анальном отверстии.
Охраняемый наружным и внутренним сфинктерами, анус отмечает окончание толстой кишки и желудочно-кишечного тракта.
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Q1: Where does the large intestine begin and what is the ileocecal valve?
The large intestine begins at the ileocecal valve, which separates the ileum of the small intestine from the cecum. This valve controls material flow from the small intestine into the large intestine. The ileocecal sphincter, a mucous membrane fold, guards this opening and permits passage of digested material into the large intestine.
Q2: What are the main anatomical regions of the colon?
The colon is divided into four regions: ascending, transverse, descending, and sigmoid. The ascending colon rises on the right side and forms the right colic flexure near the liver. The transverse colon crosses horizontally, curves at the left colic flexure near the spleen, then descends as the descending colon. The sigmoid colon is S-shaped and terminates at the rectum.
Q3: What is the appendix and where is it located?
The appendix, also called the vermiform appendix, is a coiled, twisted tube approximately 6 centimeters long attached to the posteromedial surface of the cecum. This small pouch extends from the junction where the small intestine meets the large intestine. Its exact function remains a subject of ongoing research in digestive system anatomy.
Q4: How do the anal sphincters control the opening of the anus?
The anus is guarded by two sphincters: an internal anal sphincter composed of smooth muscle and an external anal sphincter composed of skeletal muscle. These sphincters typically keep the anus closed, opening only during elimination of feces. The anal canal's mucous membrane contains longitudinal folds called anal columns that house networks of arteries and veins.
Q5: What is the rectum and how long is it?
The rectum is approximately 15 centimeters long and positioned anterior to the sacrum and coccyx. It begins where the sigmoid colon ends at the third sacral vertebra level and leads to the anal canal, the terminal end of the large intestine. The rectum serves as the final storage region before material is eliminated from the body.
Q6: How does the large intestine surround the small intestine?
The large intestine surrounds the small intestine on three sides, extending from the ileocecal valve to the anus. The ascending colon rises on the right side, the transverse colon crosses horizontally above, and the descending colon descends on the left side. This arrangement frames the small intestine within the abdominal cavity.
Q7: What is the difference between retroperitoneal and intraperitoneal portions of the colon?
The ascending and descending colon are retroperitoneal, meaning they lie behind the peritoneum against the abdominal wall. The transverse and sigmoid colon are intraperitoneal, suspended by mesentery within the peritoneal cavity. This anatomical distinction affects their mobility and blood supply within the abdominal cavity.