The Clinical Anatomy of the Gastro-Intestinal Tract

Cover The Clinical Anatomy of the Gastro-Intestinal Tract
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The digestion of surrounding skin does not occur in colostomy wounds even if they are made as high as the transverse colon. Barnard has suggested that certain cases of ulcerative colitis may also be due to the failure of the ceecal glands to neutralise the corrosive acid chyme (20). Macewen states that the caecum maintains an attenuated culture of bacillus coli to assist in digestion (222).
At birth the calibre of the Ccecum is relatively much less than it is a few years later when the organ ha
...s become sacculated from the presence within it of chyme and gas. This distension appears about the age of four to five years. As the individual grows to adult age, the caecum frequently becomes the most capacious portion of the large intestine, and in old age, especially in females, may be very distended (266). Of all the large intestine the czecum has the thinnest wall. It is only one to one and a half millimetres in thickness. This is THE C^CUM, APPENDIX AND PROXIMAL COLON 167 made up of serous, muscular, submucous and mucous coats, whiqh on the whole present very few special characteristics.

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