Large intestine Flashcards
Describe the innervation of the large intestine
- Complex system, intramural ganglia
- Plexuses in submucosal layer (submucosal plexus) and in muscular layer (myenteric plexus)
- Connected to CNS by fine network of nerve fibres
- Belong to ANS, under sympathetic and parasympathetic control
- Responsible for muscular and secretory activity of gut
Describe the blood supply of the large intestine
- Mainly cranial and caudal mesenteric arteries
- Also abdominal aorta
- Internal pudendal artery supplies caudal part of rectum
Describe the venous drainage of the large intestine
- Veins parallel to artiers, most supply portal vein
- Veins of caudal rectum and anal region join caudal vena cava
What are the divisions of the large intestine?
- Caecum
- Colon
- Rectum
Describe the histological features of the large intestine
- Caecum, colon, rectum very similar
- Mucosa, submucosa, muscularis and serosa (same as SI)
- No villi, only crypts
- Crypts are tubular glands, deeper than SI
- Many goblet cells
- Presence of variable GALT within mucosa and submucosa
Describe the difference in goblet cell density through the large intestine
- Density increases from beginning to end
- Goblet cell density:
Rectum >colon>caecum
Describe the appearance and location caecum
- Blind tube that communicates with ileum and colon
- Left of abdomen in pigs
- Right of abdomen in carnivores, ruminants and horse
- In dog short and drawn into spiral
- In cat shorter and comma shaped
- Very large in horse
Describe the caecum of the horse
- Large capacity (30L, 1m long)
- Base (dorsally located)
- Body
- Blnd ending apex pointing cranioventrally (close to xiphoid cartilage, ventral abdominal floor)
- 4 taenia (medial, lateral, dorsal, ventral) over most of horse caecum
Describe the caecum of pigs
- Cylindrical blind sac laying on left of abdomen
- Apex caudoventrally
- 3 taenia (lateral, medial ventral)
Describe the caecum of ruminants
- Relatively small
- No taenia or haustra
What are taenia?
Visible bands of smooth muscle and elastiv fibres on external surface
What are haustra?
Sacculations between taenia
Describe the structure and appearance of the colon
- Divided into ascending, descending, transverse
- Short ascending, passes cranially on right
- Transverse right to left, cranial to root of mesentery
- Long descending, passes left of mesenteric root caudally
- Continues as rectum in pelvic cavity
- Form and topography complex in some animals
- Ascending can have many modifications
Describe the colon of the horse
- Ascending arranged in 2 U-shaped loops on top of each other
- Short transverse, long ascending
- Ascending referred to as large colon
Describe the large colon of the horse
- 4 limbs 3 flexures
- Is same as ascending colon
- right ventral colon -> sternal flexure -> left ventral colon -> pelvic flexure -> left dorsal colon -> diaphragmatic flexure -> right dorsal colon
- RVC and LVC: 4 taenia
- LDC: 1 taenia
- RDS: 3 taenia
What is the clinical importance of the the flexures in the large colon of the horse?
Sudden changes in diameter, likely sites of impaction causing colic