ColonThe colon is the medical name for the large
bowel. It is the part of the gut or gastrointestinal tract
that makes the stool or faeces by absorbing water.
When we eat and drink, the food and drink get swallowed
down the oesophagus or gullet into the stomach. Here the
digestion process starts with the stomach acid. Bit by bit,
the food is made into a liquid to make a nutrient easy to
absorb, and then it gets squirted from the stomach into the
small intestine.
The liquid food passes down the small intestine
(duodenum, jejunum then ileum) the length of all of the
small bowel being approximately 180 cm (6 feet). The small
intestine absorbs all of the nutrients out of the food
mixture, leaving just water, fibre and any other waste
products. If this was then discharged from the body, it
would be a large volume of fluid and we would become very
dehydrated and lose many of our salts. Therefore it is the
job of the colon to process this waste, removing the useful
water and salts and leaving behind just some solid waste -
the stool or faeces.
The colon is split into four parts - the ascending colon,
transverse colon, desending colon and sigmoid colon. The
small bowel enters the a ascending colon in the right lower
abdomen, at the junction called the ileocaecal valve. The
first part of the ascending colon is dilated like a sac of
bowel and is called the caecum. The appendix comes off the
bottom of the caecum.
The ascending colon goes from the right lower abdomen to
the right upper abdomen, where it sits just under the liver.
It is then turns and runs across the abdomen, where it is
called the transverse colon. When it gets to the left ribs
by the spleen, it then turns downwards and is called the
descending colon. This then runs down the left side of the
abdomen until it gets near the pelvis. Here it moves into a
25 cm long segment or mobile colon which is S-shaped and
therefore is called the sigmoid colon. The sigmoid colon
then empties into the rectum at the pelvis - at a junction
called the rectosigmoid junction.
At the start of the colon, the contents are very fluid.
By the end of the colon, the contents are very solid and
harder to move. This is why when one gets constipated, the
pain is often on the left-hand side - at the point of the
sigmoid colon.
The colon is an essential structure. There are several
diseases that can be associated with it including colonic
cancer or inflammation called colitis, ulcerative colitis or
Crohn's disease. If the colon is ever removed, the patient
has to cope with the waste products which are very fluid and
high-volume.
Specialists who specialise in colonic conditions and
diseases are either physicians called gastroenterologists or
surgeons called colorectal surgeons.
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