Awapittaya Burin, Pattana-arun Jirawat, Tansatit Tanwa, Kanjanasilpa Prapon, Sahakijrungruang Chucheep, Rojanasakul Arun
Colorectal Division, Department of Surgery, Rajavithi Hospital, Bangkok 10400, Thailand.
World J Gastroenterol. 2007 May 28;13(20):2855-7. doi: 10.3748/wjg.v13.i20.2855.
To prove that the terminal ileum is intussuscepted into the cecum creating the ileocecal junction, contrary to previous valvular concept which has been widely believed.
This study is based on gross and microscopic examinations of fresh specimens derived from colonic operations (right hemicolectomy or subtotal colectomy). Data compiled from observing and dissecting of specimens of seven patients are used to examine both gross and microscopic appearance of ileocecal junction.
Intussusception of the terminal ileum was found in every specimen. However, the length of intussusception was different in each specimen.
Gross and microscopic appearance studies suggest that the terminal ileum is intussuscepted into the cecum.
证明回肠末端套入盲肠形成回盲交界,这与此前被广泛认可的瓣膜概念相反。
本研究基于对结肠手术(右半结肠切除术或结肠次全切除术)获取的新鲜标本进行大体和显微镜检查。通过观察和解剖7例患者的标本所收集的数据,用于检查回盲交界的大体和显微镜下外观。
在每个标本中均发现回肠末端套叠。然而,每个标本中套叠的长度不同。
大体和显微镜下外观研究表明回肠末端套入盲肠。