Abstract
Unfortunately, this mysterious valve has not yielded its secrets as easily as John Hunter predicted. Two hundred years later the standard textbooks of anatomy and physiology (whether pure, applied or surgical) still cannot tell us how the valve functions, other than to claim that it regulates flow from the ileum to colon. There is much specialised knowledge about the motility of the small intestine in man; somewhat less is known about colonic motility; and almost nothing about the junctional zone between the ileum and colon.
‘The cause, perhaps, of a valve at the termination of the ileum is that the putrid contents might not regurgitate. If we understand the use of a valve we shall understand the use of a caecum.’
John Hunter (1728–1793)
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Balfour, T. W. and Hardcastle, J. D. (1978). The identification of an electrically silent zone at the ileo-caeco-colic junction. In Gastrointestinal Motility in Health and Disease (ed. H. L. Duthie ), MTP Press, Lancaster, pp. 407–409
Beattie, J. (1924). The early stages of the development of the ileo-colic sphincter. J. Anat., 59, 56–59
Berk, R. N. and Lasser, E. C. (1975). Radiology of the Ileo-caecal Area, Saunders, Philadelphia
Bertrand, J. and Thiller, J. L. (1975). L’electromyographic digestive externe. Med. Chir. Dig., 4, 327–331
Buirge, R. E. (1943). Gross variations in ileo-caecal valve; study of factors underlying incompetency. Anat. Rec., 86, 373–385
Didio, L. J. A. and Anderson, M. C. (1968). The ‘Sphincters’ of the Digestive System, Williams and Wilkins, Baltimore
Farrar, J. F. and Zfass, A. M. (1967). Small intestinal motility. Gastroenterology, 52, 1019–37
Fleckenstein, P. (1978). Migrating electrical spike activity in the fasting human small intestine. Am. J. Dig. Dis., 23, 769–775
Gazet, J. C. (1964a). ‘A study of the ileo-caecal regions; its surgical significance in man’. M.S. Thesis, University of London
Gazet, J. C. (1964b). The ileo-caecal valve syndrome. Br. J. Surg., 61, 371–374
Gil-Vernet, J. M. Jr (1965). The ileo-colic segment in urologic surgery. J. Urol., 94, 418–426
Guyton, A. C. (1971). Textbook of Medical Physiology, 4th edn, Saunders, Philadelphia, p. 749
Hinrichsen, J. and Ivy, A. C. (1931). Studies on ileo-caecal sphincter of dog. Am. J. Physiol., 96, 494–507
Jit, I. (1956). Structure and development of ileo-colic valve and its frenula. Indian J. Med. Res., 44, 361–373
Lee, C. M. Jr (1951) Transposition of colon segment as gastric reservoir after total gastrectomy. Surg., Gynec. Obstet., 92, 456–465
Mccoy, E. J. and Bass, P. (1963). Chronic electrical activity of gastroduodenal area: effects of food and certain catecholamines. Am. J. Physiol., 205, 439–445
Macewen, W. (1904). The Huxley Lecture on the function of the caecum and appendix. Lancet, ii, 995–1000
Nagasako, K. and Takemoto, T. (1973). Endoscopy of the ileo-caecal area. Gastroenterology, 65, 403–411
Samuel, E. (1962). In Surgical Physiology of the Gastrointestinal Tract (ed. A. N. Smith ), The Royal College of Surgeons of Edinburgh, pp. 135–140
Singleton, A. O. Jr, Redmond, D. C. and McMurray, J. E. (1964). Ileo-caecal resection and small bowel transit and absorption. Ann. Surg., 159, 690–694
Taylor, I., Duthie, H. L., Smallwood, R. and Linkens, D. (1975). Large bowel myoelectrical activity in man. Gut, 16, 808–814
Ulin, A. W., Shoemaker, W. G. and Deutsch, J. (1956). Ileo-caecal valve and papilla; observations relating to pathophysiology of acute colon obstruction. Arch. Int. Med., 97, 409–420
Weinbeck, M. and Janssen, H. (1973). Electrical control mechanisms at the ileo-colic junction. Rend. Gastro-enterol., 5, 128–129
White, H. L., Rainey, W. R., Monaghan, B. and Harris, A. S. (1934). Observations on nervous control of ileo-caecal sphincter and on intestinal movements in unanaesthetised human subject. Am. J. Physiol., 108, 449–457
Editor information
Editors and Affiliations
Copyright information
© 1981 Paul A. Thomas and Charles V. Mann
About this chapter
Cite this chapter
Balfour, T.W. (1981). The Ileocaecal Junction. In: Thomas, P.A., Mann, C.V. (eds) Alimentary Sphincters and their Disorders. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-03940-1_8
Download citation
DOI: https://doi.org/10.1007/978-1-349-03940-1_8
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-03942-5
Online ISBN: 978-1-349-03940-1
eBook Packages: MedicineMedicine (R0)