RÔLE OF THE ILEOCECAL SPHINCTER IN CASES OF OBSTRUCTION OF THE LARGE BOWEL

CONTENTS  Review of literatureAnatomic structure of the ileocecal sphincterNerve supplyCompetency of the sphincterExperimental workStudy of competency of the ileocecal sphincter in cadaversTests of competency of the ileocecal sphincter in dogsTests of competency of the ileocecal sphincter in man by insufflation of air under low pressure and by the administration of barium enemasSignificance of the competence of the ileocecal sphincter in colonic obstructionsReports of casesEffect of increased intra-enteric pressure on the wall of the bowelExperimental workMeasurement of the intra-enteric pressure in cases of obstruction of the large bowelMeasurements of intra-enteric pressure in clinical cases of obstruction of the large bowel (table)CommentConclusionsBibliographyIt has been known for a long time that distention of the small bowel is rarely observed in cases of obstruction of the colon. The older German writers, Kreuter, Anschütz and others, have explained