Colon Flashcards

1
Q

what is the colon?

A

large intestine

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2
Q

where is the colon found?

A

a distal part of the gastrointestinal tract

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3
Q

where does the colon extend?

A

extending from the cecum to the anal canal

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4
Q

what does the colon receive and what is it’s function?

A

It receives digested food from the small intestine, from which it absorbs water and ions to form faeces

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5
Q

how can the colon be divided anatomically?

A

the colon can be divided into four parts – ascending, transverse, descending and sigmoid

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6
Q

what happens to the 4 sections of the colon?

A

These sections form an arch, which encircles the small intestine

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7
Q

how long is the average length of the colon?

A

150cm

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8
Q

which section does the colon begin with?

A

The colon begins as the ascending colon,

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9
Q

what is the ascending colon? where does it ascend from?

A

a retroperitoneal structure which ascends superiorly from the cecum.

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10
Q

what structure does the ascending colon meet?

A

right lobe of liver

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11
Q

what happens when the ascending colon meets the right lobe of the liver?

A

When it meets the right lobe of the liver, it turns 90 degrees to move horizontally

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12
Q

what is this 90 degrees turn known as?

A

This turn is known as the right colic flexure (or hepatic flexure)

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13
Q

what does the 90 degree turn of the ascending colon mark?

A

start of the transverse colon

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14
Q

what does the transverse colon cross?

A

the abdomen

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15
Q

where does the transverse colon extend from to?

A

extending from the right colic flexure to the spleen

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16
Q

what happens when the transverse colon extends to the spleen?

A

it turns another 90 degrees to point inferiorly

17
Q

what is the transverse colon turn known as?

A

the left colic flexure (or splenic flexure)

18
Q

what is the colon attached to when it points inferiorly?

A

the colon is attached to the diaphragm by the phrenicocolic ligament

19
Q

what is the transverse colon like in terms of position? why?

A

variable in position

as transverse colon is the least fixed part of the colon

20
Q

what can the transverse colon do in tall, thin individuals?

A

it can dip into the pelvis in tall, thin individuals

21
Q

how is the transverse colon like?

A

Unlike the ascending and descending colons, the transverse colon in intraperitoneal

22
Q

what happens for the colon to be termed the descending colon?

A

After the left colic flexure, the colon moves inferiorly, and so is termed the descending colon

23
Q

what is the descending colon in terms of the peritoneal cavity?

A

It is retroperitoneal in the majority of individuals

24
Q

where is the descending colon located?

A

anteriorly to the left kidney, passing over its lateral border

25
Q

what happens when the descending colon begins to turn medially?

A

it becomes the sigmoid colon

26
Q

how long is the sigmoid colon?

A

40cm long

27
Q

where is the sigmoid colon located?

A

in the left lower quadrant of the adbomen

28
Q

where does the sigmoid colon extend?

A

from left iliac fossa

29
Q

where does the sigmoid colon extend to>

A

to the level of the S3 vertebra

30
Q

what does the sigmoid colon’s journey give rise to?

A

characteristic “S” shape

31
Q

what does the sigmoid colon attach to?

A

the posterior pelvic wall

32
Q

what is the sigmoid colon attached to the posterior pelvic wall by?

A

by a mesentery

33
Q

what is the attachment of the sigmoid colon to the posterior pelvic wall called?

A

the sigmoid mesocolon

34
Q

what does the long length of the mesentery permit?

A

The long length of the mesentery permits sigmoid colon to be particularly mobile

35
Q

what are the paracolic gutters?

A

two spaces between the ascending/descending colon and the posterolateral abdominal wall

36
Q

why are the paracolic gutters important?

A

they allow infective material that has been released from abdominal organs to accumulate elsewhere in the abdomen