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正常情况下及几种病理状态下患者回肠乳头的内镜研究。

Endoscopic study of the ileal papilla in a normal case and in patients under several pathological conditions.

作者信息

DiDio L J, Geocze S, Ferrari Júnior A P

机构信息

Medical College of Ohio, Department of Anatomy, Toledo 43699.

出版信息

Ann Anat. 1994 Jun;176(3):263-8. doi: 10.1016/s0940-9602(11)80492-9.

DOI:10.1016/s0940-9602(11)80492-9
PMID:8059971
Abstract

The ileal protrusion into the lumen of the large intestine was studied in 9 patients (8 adults and 1 girl), 6 females and 3 males, all Brazilians and Caucasians. One of the patients resulted to have no disease, whereas in the others was confirmed the suspected diverticulosis, non specific ulcerative colitis, polyposis, regional ileitis or tuberculosis. In all cases the papillary and bilabial types of the termination of the ileum was documented by endoscopic photography, justifying the change of the expression "Bauhin's ileocecal valve" to that of "eminentia ilealis". Even in cases (one with regional ileitis and the other with tuberculosis) in which the disease altered the eminentia ilealis, it was possible to recognize the ileal papilla. Endoscopy confirmed direct, in vivo observations of ileal papilla, excluding the influence of the surgical procedure (incision and exteriorization in cases of cecostomy) in the morphological aspect of the normal eminentia ilealis.

摘要

对9例患者(8名成人和1名女孩,6名女性和3名男性,均为巴西白种人)的回肠突入大肠腔的情况进行了研究。其中1例患者未患疾病,而其他患者确诊患有疑似憩室病、非特异性溃疡性结肠炎、息肉病、局限性回肠炎或结核病。在所有病例中,通过内镜摄影记录了回肠末端的乳头型和双唇型,这证明了将“鲍欣氏回盲瓣”这一表述改为“回肠隆起”是合理的。即使在疾病改变回肠隆起的病例(1例局限性回肠炎和1例结核病)中,也能够识别回肠乳头。内镜检查证实了对回肠乳头的直接活体观察,排除了手术操作(盲肠造口术病例中的切口和外置)对正常回肠隆起形态学方面的影响。

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引用本文的文献

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Study of the functional activity of the cecocolonic junction with identification of a "physiologic sphincter", "cecocolonic inhibitory reflex" and "colocecal excitatory reflex".盲肠结肠连接部功能活动的研究,包括识别“生理性括约肌”、“盲肠结肠抑制反射”和“结肠盲肠兴奋反射”。
Surg Radiol Anat. 2003 Apr;25(1):16-20. doi: 10.1007/s00276-002-0089-3. Epub 2003 Feb 4.
2
The caecocolonic junction in humans has a sphincteric anatomy and function.人类的盲肠结肠交界处具有括约肌的解剖结构和功能。
Gut. 1995 Oct;37(4):493-8. doi: 10.1136/gut.37.4.493.