World Library  
Flag as Inappropriate
Email this Article

Ileocecal valve

Article Id: WHEBN0003967249
Reproduction Date:

Title: Ileocecal valve  
Author: World Heritage Encyclopedia
Language: English
Subject: Cecum, Ileum, Appendix (anatomy), Large intestine, Human digestive system
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Ileocecal valve

Ileocecal valve
Interior of the cecum and lower end of ascending colon with the ileocecal valve labeled as "colic valve"
Endoscopic image of cecum with arrow pointing to ileocecal valve in foreground
Details
Latin Valva ileocaecalis or papilla ilealis
Ileocolic artery
Ileocolic vein
Identifiers
MeSH A03.556.124.684.249.400
Dorlands
/Elsevier
v_02/12843921
Anatomical terminology

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.[1]

The ileocecal valve is distinctive because it is the only site in the gastrointestinal tract that is used for Vitamin B12 and bile acid absorption.[2][3] Roughly two litres of fluid enters the colon daily through the ileocecal valve.

Recent evidence indicates an anatomical sphincter may also be present in humans.[4]

Contents

  • Etymology 1
  • Histology 2
  • Clinical significance 3
  • Additional images 4
  • References 5
  • External links 6

Etymology

It was described by the Dutch physician Nicolaes Tulp (1593–1674), and thus it is sometimes known as Tulp's valve.

Histology

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.[4]

There is also a variable amount of lymphatic tissue found at the valve.[5]

The ileocecal valve has a papillose structure.

Clinical significance

During colonoscopy, the ileocecal valve is used, along with the appendiceal orifice, in the identification of the cecum. This is important as it indicates that a complete colonoscopy has been performed. The ileocecal valve is typically located on the last fold before entry into the cecum, and can be located from the direction of curvature of the appendiceal orifice, in what is known as the bow and arrow sign.[6]

Intubation of the ileocecal valve is typically performed in colonoscopy to evaluate the distal, or lowest part of the ileum. Small bowel endoscopy can also be performed by double-balloon enteroscopy through intubation of the ileocecal valve.[7]

Tumors of the ileocecal valve are rare, but have been reported in the literature.[8][9]

Additional images

References

  1. ^ Barret KE. "Lange Gastrointestinal Physiology". The McGraw-Hill Companies, 2006.
  2. ^ Fornaro, R.; Belcastro, E.; Lo Presti, G.; Carissimi, T.; Ferraris, R. (1991). "The ileocecal valve as a prognostic factor in extensive resection of the small intestine". Chirurgia italiana 43 (1–2): 49–54.  
  3. ^ Steiner, M. S.; Morton, R. A. (1991). "Nutritional and gastrointestinal complications of the use of bowel segments in the lower urinary tract". The Urologic clinics of North America 18 (4): 743–754.  
  4. ^ a b Pollard, MF; Thompson-Fawcett, MW; Stringer, MD (2012). "The human ileocaecal junction: anatomical evidence of a sphincter". Surgical and Radiologic Anatomy 34 (1): 21–9.  
  5. ^ Burkitt HG, Young B, Heath JW. Wheater's Functional Histology: a text and colour atlas. Churchill Livingstone, London, 1993.
  6. ^ Cotton PB, Williams CB. Practical Gastrointestinal Endoscopy Blackwell Publishers, London, 1996
  7. ^ Ross, AS; Waxman, I; Semrad, C; Dye, C (2005). "Balloon-assisted intubation of the ileocecal valve to facilitate retrograde double-balloon enteroscopy". Gastrointestinal endoscopy 62 (6): 987–8.  
  8. ^ Yörük, G; Aksöz, K; Buyraç, Z; Unsal, B; Nazli, O; Ekinci, N (2004). "Adenocarcinoma of the ileocecal valve: report of a case". The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology 15 (4): 268–9.  
  9. ^ Song, HJ; Ko, BM; Cheon, YK; Ryu, CB; Lee, JS; Lee, MS; Shim, CS (2005). "Isolated ileocecal lymphoma". Gastrointestinal endoscopy 61 (2): 293–4.  

External links

  • Diagram at amatsu.co.uk
  • largeintestine at The Anatomy Lesson by Wesley Norman (Georgetown University) (cecuminside)
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.