Photo-Optical Observation of Colonic Motility in Man The Ileocecal Region and Right Side Colon
The present study was made to investigate the motility of the ileoceal region and right side colon. The subjects studied were 21 adults who did not suffer from colorectal diseases.For this purpose a 16 mm X-ray cinematogram was taken in each case using barium enema in supine position. A photooptical...
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| Published in | Nippon Daicho Komonbyo Gakkai Zasshi Vol. 30; no. 4; pp. 291 - 299,362 |
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| Main Author | |
| Format | Journal Article |
| Language | English Japanese |
| Published |
The Japan Society of Coloproctology
1977
|
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.30.291 |
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| Abstract | The present study was made to investigate the motility of the ileoceal region and right side colon. The subjects studied were 21 adults who did not suffer from colorectal diseases.For this purpose a 16 mm X-ray cinematogram was taken in each case using barium enema in supine position. A photooptical measurement was performed on these cinefilms wit a film motion analyzer. The results obtained are as follows: 1. In all cases, small non-propulsive movements of colonic haustration were observed which were expressed as changes in the outline of the haustra. 2. A large propulsive movement (mass peristalsis) was seen in 4 cases during the period of study. This movement starts from the cecal area and finishes at the neighbourhood of the left colic flexure. 3. Contraction of the ascending colic sphincter (cecocolic sphincter) was observed above the ileocolic orifice, and a sac-shaped portion was formed proximal from it. The cecocolic sphincter was relatively relaxed during the sac being filled, but it remained contracted while the content was transported into the distal parts by mass peristalsis, which originated in the cecal area after remarkable tonic contraction in the terminal ileum. 4. The terminal ileum remained contracted strongly while the right side colon contracted. It seems that tonic contraction of the terminal ileum prevents regurgitation of fecal content back into the ileum. 5. Morphologically obvious movement was not observed on the Cannon-Boehm's point of the transverse colon. 6. Transportation of feces in the ascending and transverse colon which lies distal to the cecocolic sphincter depends on the serial multihaustral propulsion. |
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| AbstractList | The present study was made to investigate the motility of the ileoceal region and right side colon. The subjects studied were 21 adults who did not suffer from colorectal diseases.For this purpose a 16 mm X-ray cinematogram was taken in each case using barium enema in supine position. A photooptical measurement was performed on these cinefilms wit a film motion analyzer. The results obtained are as follows: 1. In all cases, small non-propulsive movements of colonic haustration were observed which were expressed as changes in the outline of the haustra. 2. A large propulsive movement (mass peristalsis) was seen in 4 cases during the period of study. This movement starts from the cecal area and finishes at the neighbourhood of the left colic flexure. 3. Contraction of the ascending colic sphincter (cecocolic sphincter) was observed above the ileocolic orifice, and a sac-shaped portion was formed proximal from it. The cecocolic sphincter was relatively relaxed during the sac being filled, but it remained contracted while the content was transported into the distal parts by mass peristalsis, which originated in the cecal area after remarkable tonic contraction in the terminal ileum. 4. The terminal ileum remained contracted strongly while the right side colon contracted. It seems that tonic contraction of the terminal ileum prevents regurgitation of fecal content back into the ileum. 5. Morphologically obvious movement was not observed on the Cannon-Boehm's point of the transverse colon. 6. Transportation of feces in the ascending and transverse colon which lies distal to the cecocolic sphincter depends on the serial multihaustral propulsion. |
| Author | Takahashi, H. |
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| References | 21) Oppenheimer, A.: The Ileocecal Region.Radiology, 34, 545-559, 1940. 6) 原田元夫:結腸左半の内容輸送運動と排便運動.日外会誌,65, 270-283, 1964. 14) Holzknecht, G.: Die normale Peristaltik des Kolon. Munch. med. Wchnschr., 56, 2401-2403, 1909. 28) Hertz, A. F. and Newton, A.: The normal movement of the colon in man. J. Physiol., 47. 57-65, 1913. 8) 吉村衛:大腸の分節構造について.目外会誌,56, 1195-1204, 1937. 13) 杉沢利雄:排便時における直腸の電気生理学的ならびに映像工学的観察,第II報,ヒトにおける映像工学的観察.日平滑筋誌,9, 47-62, 1973. 20) 福原武:消化管運化のメカニズム.文光堂,東京,1973. 29) 足立勲:胃――大腸反射について.日本生理誌,21, 386-396, 1959. 10) 相羽昭:大腸の運動.日新医学,22, 1684-1708, 1933. 26) 林亨:結盲括約部と盲腸運動に関する実験的並びに臨床的観察.日外会誌,59, 115-125, 1958. 12) 杉沢利雄ら:排便機構の映像工学的観察.日平滑筋誌,7, 45-50, 1971. 1) Brody, G. S. et al: Observations on Fecal Continence Mechanism. J.A.M.A., 173, 226-229, 1960. 18) Cannon, W. B.: The Movements of the stomach studied by means of the Roentgen rays. Amer. J. Phvsiol., 1, 359-382, 1898. 22) 遠藤博:回盲部腸運動の研究,日外会誌,59, 1832-1842, 1959. 5) 飯倉重常:内容輸送に関する大腸運動のレ線学的研究.日外会誌,55, 231-240, 1954. 25) 吉井勇:腸管筋層構造に関する解剖学的研究.日平滑筋誌,3, 120-128, 1967. 11) 桝田亀次郎:大腸の運動,日本生理誌,2, 196-212, 1937. 30) 三宅隆雄:大腸における腸内反射について.日本生理誌,20, 863-872, 1958. 23) Stark, S.: Diagnostic implications of the ileocecal valve. Gastroenterology, 35, 485, 1958. 24) Alvarez, W. C.: An Introduction to Gastroenterology. Paul, Inc., N.Y. 4 Ed., 1948. 22)より引用. 19) 問田直幹,内薗耕二:新生理学(下巻)第4版,医学書院,422, 1975. 4) 桝田亀次郎:大腸の神経支配.日本生理誌,2, 320-330, 1937. 7) 内藤猛徳:いわゆるCannon点を中心とする大腸運動の観察.日外会誌,65, 305-317,1964. 2) Cannon, W. B.: The movements of the intestine studied by means of the Roentgen rays. Amer. J. Physiol., 6, 251-277, 1902. 16) Bacon, H. E.: Surgical anatomy of the colon, rectum and anal canal. Ist. ed., p. 126, J. B. Lippincot company, Philadelphia, 1962. 31) Williams, I.: Mass movements (mass peristalsis) and diverticular disease of the colon. Brit. J. Radiol., 40, 2-14, 1967 17) Truelove, S. C.: Movement of large intestine. Physiol. Rev., 46, 457-493, 1966. 27) Hirsch: The Cecocolic Sphincteric Tract.Med. J. & Record, 119, 541-549, 1924. 9) 杉浦荘平,平山次郎:大腸運動に関する研究(第3報).日消会誌,49, 60-61, 1951. 15) Ritchie, J. A.: Colonic mortor activity and bowel function. Gut., 9, 442-456, 1968. 3) Boehm, G.: Die spastische Obstipation and ihre Beziehunger zur Antiperistaltik. Dtsch. Arch. Klin. Med., 102, 431-450, 1911. |
| References_xml | – reference: 9) 杉浦荘平,平山次郎:大腸運動に関する研究(第3報).日消会誌,49, 60-61, 1951. – reference: 23) Stark, S.: Diagnostic implications of the ileocecal valve. Gastroenterology, 35, 485, 1958. – reference: 27) Hirsch: The Cecocolic Sphincteric Tract.Med. J. & Record, 119, 541-549, 1924. – reference: 19) 問田直幹,内薗耕二:新生理学(下巻)第4版,医学書院,422, 1975. – reference: 30) 三宅隆雄:大腸における腸内反射について.日本生理誌,20, 863-872, 1958. – reference: 15) Ritchie, J. A.: Colonic mortor activity and bowel function. Gut., 9, 442-456, 1968. – reference: 13) 杉沢利雄:排便時における直腸の電気生理学的ならびに映像工学的観察,第II報,ヒトにおける映像工学的観察.日平滑筋誌,9, 47-62, 1973. – reference: 24) Alvarez, W. C.: An Introduction to Gastroenterology. Paul, Inc., N.Y. 4 Ed., 1948. 22)より引用. – reference: 28) Hertz, A. F. and Newton, A.: The normal movement of the colon in man. J. Physiol., 47. 57-65, 1913. – reference: 11) 桝田亀次郎:大腸の運動,日本生理誌,2, 196-212, 1937. – reference: 2) Cannon, W. B.: The movements of the intestine studied by means of the Roentgen rays. Amer. J. Physiol., 6, 251-277, 1902. – reference: 31) Williams, I.: Mass movements (mass peristalsis) and diverticular disease of the colon. Brit. J. Radiol., 40, 2-14, 1967, – reference: 3) Boehm, G.: Die spastische Obstipation and ihre Beziehunger zur Antiperistaltik. Dtsch. Arch. Klin. Med., 102, 431-450, 1911. – reference: 22) 遠藤博:回盲部腸運動の研究,日外会誌,59, 1832-1842, 1959. – reference: 8) 吉村衛:大腸の分節構造について.目外会誌,56, 1195-1204, 1937. – reference: 17) Truelove, S. C.: Movement of large intestine. Physiol. Rev., 46, 457-493, 1966. – reference: 18) Cannon, W. B.: The Movements of the stomach studied by means of the Roentgen rays. Amer. J. Phvsiol., 1, 359-382, 1898. – reference: 6) 原田元夫:結腸左半の内容輸送運動と排便運動.日外会誌,65, 270-283, 1964. – reference: 21) Oppenheimer, A.: The Ileocecal Region.Radiology, 34, 545-559, 1940. – reference: 29) 足立勲:胃――大腸反射について.日本生理誌,21, 386-396, 1959. – reference: 5) 飯倉重常:内容輸送に関する大腸運動のレ線学的研究.日外会誌,55, 231-240, 1954. – reference: 25) 吉井勇:腸管筋層構造に関する解剖学的研究.日平滑筋誌,3, 120-128, 1967. – reference: 20) 福原武:消化管運化のメカニズム.文光堂,東京,1973. – reference: 10) 相羽昭:大腸の運動.日新医学,22, 1684-1708, 1933. – reference: 4) 桝田亀次郎:大腸の神経支配.日本生理誌,2, 320-330, 1937. – reference: 1) Brody, G. S. et al: Observations on Fecal Continence Mechanism. J.A.M.A., 173, 226-229, 1960. – reference: 26) 林亨:結盲括約部と盲腸運動に関する実験的並びに臨床的観察.日外会誌,59, 115-125, 1958. – reference: 12) 杉沢利雄ら:排便機構の映像工学的観察.日平滑筋誌,7, 45-50, 1971. – reference: 14) Holzknecht, G.: Die normale Peristaltik des Kolon. Munch. med. Wchnschr., 56, 2401-2403, 1909. – reference: 7) 内藤猛徳:いわゆるCannon点を中心とする大腸運動の観察.日外会誌,65, 305-317,1964. – reference: 16) Bacon, H. E.: Surgical anatomy of the colon, rectum and anal canal. Ist. ed., p. 126, J. B. Lippincot company, Philadelphia, 1962. |
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