Skip to main content

Advertisement

Log in

Investigations of the muscular architecture of the rectosigmoid junction in humans

  • Original Contributions
  • Published:
Diseases of the Colon & Rectum

Abstract

The rectosigmoid junction, the segment of the gut where the colon merges with the rectum, has characteristic morphologic features and specific functional significance. The purpose of this study was to investigate the precise morphology of the musculature of this junction as a preliminary step toward closer study of its function and a better understanding of intestinal motility. To this end, the topographic relations of the rectosigmoid junction were investigated in specimens from 39 human cadavers. Although these relations varied, in all cases the rectosigmoid was located intraperitoneally and was distal to the promontory of the sacrum. Examination of muscle specimens under the dissecting microscope revealed conspicuous bands of longitudinal fibers, with curved interconnections between the longitudinal and circular muscle coats. The rectosigmoid junction is not a true sphincter, although in functional terms it can be regarded as such.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. O'Beirne J. New views of the process of defecation and their application to the pathology and treatment of diseases of the stomach, bowels and other organs. Dublin: Hodges and Smith, 1833.

    Google Scholar 

  2. Hyrtl J. Handbuch der topographischen Anatomie und ihrer praktisch medicinisch-chirurgischen Anwendungen II. Band, 4. Aufl., Wien: Braumüller, 1860.

    Google Scholar 

  3. Houston J. Observation on the mucous membrane of the rectum. The Dublin Hospital Reports and Communications in Medicine and Surgery 1830;5:158–65.

    Google Scholar 

  4. Langer C, Toldt C. Lehrbuch der systematischen und topographischen Anatomie 6. Auflage. Leipzig: Braumüller, 1897.

    Google Scholar 

  5. Otis WJ. Some observations on the structure of the rectum. J Anat Physiol 1898;32:59–63.

    Google Scholar 

  6. Merkel F. Die Pars ampullarisrecti. Ergeb Anat Entwicklungsgesch 1900;10:524–46.

    Google Scholar 

  7. Carpenter JG. The physiology of the colon, sigmoid and rectum. JAMA 1898;30:424–6.

    Google Scholar 

  8. Cantlie J. The sigmoid flexure in health and disease. J Trop Med Hyg 1915;18:1–7.

    Google Scholar 

  9. Mayo WJ. A study of the rectosigmoid. Surg Gynecol Obstet 1917;25:616–21.

    Google Scholar 

  10. Sieglbauer F. Lehrbuch der normalen Anatomie des Menschen. 9. Aufl. Wien: Urban und Schwarzenberg, 1963.

    Google Scholar 

  11. Braus H, Elze C. Anatomie des Menschen. 3. Aufl. Berlin Göttingen Heidelberg: Springer, 1956

    Google Scholar 

  12. Ewing MR. The significance of the level of the peritoneal reflection in the surgery of rectal cancer. Br J Surg 1952;39:495–500.

    PubMed  Google Scholar 

  13. Fullerton A. Congenital idiopathic dilatation of the colon treated by stretching of the pelvi-rectal sphincter. Br Med J 1927;1:753–4.

    Google Scholar 

  14. Balli R. The sphincters of the colon. Radiology 1939;33:372–6.

    Google Scholar 

  15. Hollinshead WH. Anatomy for surgeons. 2nd ed. New York: Harper & Row, 1971, Vol 2.

    Google Scholar 

  16. Goligher J. Surgery of the anus, rectum and colon. 5th ed. London: Bailliere Tindall, 1984.

    Google Scholar 

  17. Dixon CF. Anterior resection for malignant lesions of the upper part of the rectum and lower part of the sigmoid. Trans Am Surg Assoc 1948;66:175–82.

    Google Scholar 

  18. Hansen HH. Zur funktionellen Morphologie des anorektalen Kontinenzorgans. Habilitationsschrift. Bonn, 1979.

    Google Scholar 

  19. Liebermann-Meffert D, Allgöwer M, Schmid P, Math D, Blum AL. Muscular equivalent of the lower esophageal sphincter. Gastroenterology 1979;76:32–8.

    Google Scholar 

  20. Liebermann-Meffert D, Allgöwer M. The morphology of the antrum and pylorus in gastric ulcer disease. Prog Surg 1977;15:109–39.

    PubMed  Google Scholar 

  21. Warwick R, Williams PL. Gray's anatomy. 36th ed. New York: Churchill Livingstone, 1980.

    Google Scholar 

  22. Treves F. Lectures on the anatomy of the intestinal canal and peritoneum in man. Hunterian Lectures. London: HK Lewis, 1885.

    Google Scholar 

  23. Birmingham A. Some points in the anatomy of the digestive system. J Anat Physiol 1901;35:33–66.

    Google Scholar 

  24. Holmdahl H. Zur Entwicklungsgeschichte des menschlichen Rektums. Anat Hefte 1914;51:233–61.

    Google Scholar 

  25. Rauber-Kopsch. Anatomie des Menschen, Lehrbuch und Atlas, Band II. Innere Organe. Leonhardt H, Tillmann B, Töndury G, Zilles K (Hrsg.) 20. Aufl. Stuttgart: Thieme, 1987.

    Google Scholar 

  26. Gaily CJ. Des valvules du rectum et de leur role pathogenique. These, Fac Mixte Med et Pharm. Toulouse, Impr. Vaiallelle et Cie, 1893.

  27. Laimer E. Beitrag zur Anatomie des Mastdarms, Med Jahrb 1883;15:75–97.

    Google Scholar 

  28. Lubosch W, Schaller J. Über die Form des menschlichen Rektums. Z Anat Entwicklungsgesch 1928;85:400–45.

    Google Scholar 

  29. Landau E. Über Zusammenhänge zwischen beiden Schichten der Tunica muscularis des Darmes. Z Mikrosk Anat Forsch 1928;14:441–6.

    Google Scholar 

  30. Patzelt V. Der Darm. In: v. Moellendorff W. Handbuch der mikroskopischen Anatomie des Menschen. 5. Band Berlin: Springer, 1936.

    Google Scholar 

  31. Hansen H, Stelzner F. Physiologie der Kontinenz und Defäkation. In: Proktologie. New York: Springer, 1981.

    Google Scholar 

  32. Liebermann-Meffert D. Anatomie des gastrooesophagealen Verschluβorgans. In: Blum AL, Siewert JR, eds. Refluxtherapie. New York: Springer, 1981.

    Google Scholar 

  33. Stedman TL. Stedman's medical dictionary. Baltimore: William & Wilkins, 1966.

    Google Scholar 

  34. Stelzner F. Die Verschluβsysteme am Magen-Darm-Kanal und ihre chirurgische Bedeutung. Acta Chir Austriaca 1987;19:565–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by a grant from the Fund of Furtherance of Scientific Research in Austria (project P6724M).

About this article

Cite this article

Stoss, F. Investigations of the muscular architecture of the rectosigmoid junction in humans. Dis Colon Rectum 33, 378–383 (1990). https://doi.org/10.1007/BF02156262

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02156262

Key words

Navigation