結腸膨起
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2019/06/08 11:10:39」(JST)
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| Haustra |
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Arteries of cecum and vermiform process. |
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| Details |
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| Identifiers |
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| Latin | haustra coli |
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| TA | A05.7.03.009 |
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| FMA | 14552 |
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| Anatomical terminology [edit on Wikidata] |
The haustra (singular haustrum) of the colon are the small pouches caused by sacculation (sac formation), which give the colon its segmented appearance. The teniae coli run the length of the colon. Because the taenia coli are shorter than the colon, the colon becomes sacculated between the teniae coli, forming the haustra.
Haustral contractions are slow segmenting, uncoordinated movements that occur approximately every 25 minutes. One haustrum distends as it fills with chyme, which stimulates muscles to contract, pushing the contents to the next haustrum. Also see peristalsis.
There is a wider distance between haustra than between the circular folds of the small intestine, and the haustra don't reach around the entire circumference of the intestine, in contrast to circular folds of the small intestine that do. These differences can assist in distinguishing the small intestine from the colon on an abdominal x-ray.
Clinical significance
Widespread loss of haustra is a sign of chronic ulcerative colitis.[1] Localized ahaustral distended colon can be seen on abdominal x-ray during obstruction or volvulus.
Sigmoidal volvolus, more often seen in psychiatric and neurologically impaired patients (e.g. Parkinson's disease), shows lack of haustra on x-ray and points from the pelvis to the right upper quadrant just below the diaphragm.
References
- ^ [1] Gore, R. (1992). "Colonic contour changes in chronic ulcerative colitis: Reappraisal of some old concepts". AJR. American Journal of Roentgenology. 158 (1): 59–61. doi:10.2214/ajr.158.1.1727359. PMID 1727359.
Anatomy of the gastrointestinal tract, excluding the mouth |
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| Upper | | Pharynx |
- Muscles
- Spaces
- peripharyngeal
- retropharyngeal
- parapharyngeal
- retrovisceral
- danger
- prevertebral
- Pterygomandibular raphe
- Pharyngeal raphe
- Buccopharyngeal fascia
- Pharyngobasilar fascia
- Piriform sinus
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| Esophagus | |
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| Stomach |
- Curvatures
- greater
- lesser
- Angular incisure
- Cardia
- Body
- Fundus
- Pylorus
- Gastric mucosa
- Gastric folds
- Microanatomy
- Gastric pits
- Gastric glands
- Cardiac glands
- Fundic glands
- Pyloric glands
- Foveolar cell
- Parietal cell
- Gastric chief cell
- Enterochromaffin-like cell
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| Lower | | Small intestine | | Microanatomy |
- Intestinal villus
- Intestinal gland
- Enterocyte
- Enteroendocrine cell
- Goblet cell
- Paneth cell
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| Duodenum |
- Suspensory muscle
- Major duodenal papilla
- Minor duodenal papilla
- Duodenojejunal flexure
- Brunner's glands
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| Jejunum | |
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| Ileum |
- Ileocecal valve
- Peyer's patches
- Microfold cell
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| Large intestine | | Cecum | |
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| Colon |
- Ascending colon
- Hepatic flexure
- Transverse colon
- Splenic flexure
- Descending colon
- Sigmoid colon
- Continuous
- taenia coli
- haustra
- epiploic appendix
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| Rectum | |
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| Anal canal |
- Anus
- Anal columns
- Anal valves
- Anal sinuses
- Pectinate line
- Internal anal sphincter
- Intersphincteric groove
- External anal sphincter
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| Wall |
- Serosa / Adventitia
- Subserosa
- Muscular layer
- Submucosa
- Circular folds
- Mucosa
- Muscularis mucosa
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UpToDate Contents
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- 1. 消化管のシャーガス病chagas gastrointestinal disease [show details]
…decreased bowel haustra and a dilated, atonic colon . Dilatation usually occurs in the distal colon, including sigmoid and rectum; rarely, dilatation occurs in other segments or in the entire colon. Megacolon …
- 2. 小腸および大腸の腹部超音波検査transabdominal ultrasonography of the small and large intestine [show details]
…be filled with liquid. The small and large intestines can be distinguished by scanning the haustra of the colon and the circular folds of Kerckring in the small intestine. In unclear cases, scanning of …
- 3. 結腸切除の概要overview of colon resection [show details]
… Colon resection is needed to manage a variety of malignant and benign colon lesions, including trauma. Planning colon resection needs to take into account the nature of the lesion and its location within …
- 4. 原発性大腸癌に対する切除術surgical resection of primary colon cancer [show details]
… cancers arising in the colon are adenocarcinomas. A surgical resection is the only curative treatment modality for localized colon cancer. The goal of surgical resection of primary colon cancer is complete …
- 5. 高齢患者における切除結腸癌に対する補助化学療法adjuvant therapy for resected colon cancer in elderly patients [show details]
…patients with resected colon cancer. A general discussion of the benefits of adjuvant chemotherapy for resected colon and rectal cancer, surgical management and prognosis of colon cancer, benefits of adjunctive …
English Journal
- The surgical treatment of acute and severe diversion colitis mimicking ulcerative colitis: a case report.
- Kakizawa N, Tsujinaka S, Miyakura Y, Kikugawa R, Hasegawa F, Ishikawa H, Tamaki S, Takahashi J, Rikiyama T.
- Surgical case reports. 2018 Aug;4(1)86.
- Diversion colitis (DC) is characterized by nonspecific inflammation in the remaining colon or rectum, and loss of the fecal stream plays a major role in the disease's development. Although the majority of patients are asymptomatic, medical and/or surgical treatment is required for those who are symp
- PMID 30073476
- Haustral boundary contractions in the proximal 3-taeniated rabbit colon.
- Chen JH, Yang Z, Yu Y, Huizinga JD.
- American journal of physiology. Gastrointestinal and liver physiology. 2016 Feb;310(3)G181-92.
- The rabbit proximal colon is similar in structure to the human colon. Our objective was to study interactions of different rhythmic motor patterns focusing on haustral boundary contractions, which create the haustra, using spatiotemporal mapping of video recordings. Haustral boundary contractions we
- PMID 26635318
Japanese Journal
- 稲場 勇平,斉藤 裕輔,小林 裕,杉山 隆治,助川 隆士,小澤 賢一郎,垂石 正樹,藤谷 幹浩,奥村 利勝
- 日本消化器内視鏡学会雑誌 61(5), 1145-1157, 2019
- <p>大腸T1（SM）癌の深達度診断における超音波内視鏡検査（EUS）診断のコツについて解説した．超音波内視鏡検査は大腸内視鏡検査とは異なり，病変の垂直断面像が得られることにより大腸癌のSM以深への浸潤像を直接観察できる唯一の検査法である．内視鏡検査と同時に施行可能な超音波細径プローブ検査が簡便であり初学者には推奨される．約10％程度の症例で画像そのものが得られない，また屈曲部やハウス …
- NAID 130007651386
- S状結腸捻転を契機に発見された慢性特発性大腸偽性腸閉塞の１例
- 下田 陽太,関川 浩司,山崎 将人,太田 竜,池田 博斉,成田 和広
- 日本外科系連合学会誌 40(5), 916-921, 2015
- 症例は32歳，男性．腹痛を主訴に来院，S状結腸軸捻転の診断でハルトマン手術を施行した．術後は経過良好で一度退院したが外来経過観察中に腹部膨満を自覚した．注腸造影検査では残存大腸はびまん性に拡張し左側横行結腸～下行結腸のハウストラが消失していた．慢性特発性大腸偽性腸閉塞症の診断で左側横行結腸～下行結腸を切除し右側横行結腸人工肛門造設術を施行した．その後は症状再燃なく経過し右側横行結腸と残存直腸を吻合 …
- NAID 130005268143
- 慢性甲状腺機能低下症を合併した成人型 Hirschsprung 病の1例
- 中島 紳太郎,諏訪 勝仁,宇野 能子,北川 和男,藤田 明彦,山形 哲也,岡本 友好,柏木 秀幸,池上 雅博,矢永 勝彦
- 日本大腸肛門病学会雑誌 63(6), 373-378, 2010-06-01
- 症例は29歳，女性．幼少時よりの頑固な便秘があり，2009年1月精査加療目的で当科紹介となった．直腸感覚および直腸肛門反射は喪失しており，排便時に内肛門括約筋の弛緩が確認できず，血液検査で甲状腺機能低下症を認めた．以上より慢性甲状腺機能低下症が合併した成人型Hirschsprung病を疑い，甲状腺ホルモンの補充と洗腸を開始した．同年8月，肛門括約筋全層生検術を実施し成人型Hirschsprung病 …
- NAID 10026424724
Related Links
- Description The haustra of the colon (singular haustrum) are the small pouches caused by sacculation, which give the colon its segmented appearance. The taenia coli runs the length of the large intestine. Because the taenia coli is ...
- Main Function The haustra, which may also be called haustra coli, haustrations of the colon, and sacculations of the colon, are where solid waste begins its transformation into feces, which makes them a really important ...
- one of the pouches of the colon, produced by adaptation of its length to the taenia coli, or by collection of circular muscle fibers 1 or 2 cm apart; the ... One of the sacculations of the colon caused by longitudinal bands of smooth ...
★リンクテーブル★
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- 英
- haustra of colon (Z)
- ラ
- haustra coli
- 同
- 結腸隆起、ハウストラ
- 関
- 結腸
[show details]
- ハウストラとも言う。結腸が結腸ヒモより長いために生じる (Z.79)
[★]
結腸