Colon histology

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Colon histology

Abdomen 2

Abdomen 2

Esophagus histology
Stomach histology
Small intestine histology
Colon histology
Gastroesophageal reflux disease (GERD)
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Eosinophilic esophagitis (NORD)
Peptic ulcer
Intussusception
Appendicitis: Pathology review
Appendicitis
Esophageal disorders: Pathology review
Inflammatory bowel disease: Pathology review
Acid reducing medications
Laxatives and cathartics
Fats and lipids
Carbohydrates and sugars
Chewing and swallowing
Proteins
Gastric motility
Enteric nervous system
Esophageal motility
Diverticulosis and diverticulitis
Crohn disease
Ulcerative colitis
Irritable bowel syndrome
Small bowel ischemia and infarction
Bowel obstruction
Volvulus
Peutz-Jeghers syndrome
Colorectal polyps
Familial adenomatous polyposis
Juvenile polyposis syndrome
Approach to periumbilical and lower abdominal pain: Clinical sciences
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Approach to pneumoperitoneum and peritonitis (perforated viscus): Clinical sciences
Approach to upper abdominal pain: Clinical sciences
Acute mesenteric ischemia: Clinical sciences
Appendicitis: Clinical sciences
Chronic mesenteric ischemia: Clinical sciences
Colonic volvulus: Clinical sciences
Diverticulitis: Clinical sciences
Infectious gastroenteritis: Clinical sciences
Inguinal hernias: Clinical sciences
Irritable bowel syndrome: Clinical sciences
Large bowel obstruction: Clinical sciences
Ischemic colitis: Clinical sciences
Rectus sheath hematoma: Clinical sciences
Small bowel obstruction: Clinical sciences
Peptic ulcer disease: Clinical sciences
Umbilical hernias: Clinical sciences
Ventral and incisional hernias: Clinical sciences
Pneumoperitoneum
Femoral hernias: Clinical sciences
Approach to abdominal wall and groin masses: Clinical sciences
Hemochromatosis: Clinical sciences
Approach to hematochezia: Clinical sciences
Approach to melena and hematemesis: Clinical sciences
Ileus: Clinical sciences
Inflammatory bowel disease (Crohn disease): Clinical sciences
Inflammatory bowel disease (ulcerative colitis): Clinical sciences
Approach to constipation: Clinical sciences
Mallory-Weiss syndrome
Diffuse esophageal spasm
Esophageal web
Plummer-Vinson syndrome
Stress ulcers: Clinical sciences
Anaphylaxis: Clinical sciences

Transcript

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Now, let's get a closer look. The large intestine consists of the appendix, cecum, colon, rectum, and anal canal. The colon is mainly responsible for reabsorbing water and electrolytes from the feces within its lumen. The colon is continuous with the rectum, where the feces is stored before defecation. Similar to the rest of the large intestine, the colon has 4 main layers: the mucosa, submucosa, muscularis propria, and a surrounding serosal layer of connective tissue that isn’t seen in this image.

Even at low magnification, we can see that the colon’s mucosa at the top of this image doesn’t have the distinct long villi or finger-like projections that would normally be seen in the small intestine. Taking a closer look at the colon’s mucosa, the lumen of the colon is seen at the top of the image and the first layer of cells lining the mucosa is the epithelium of the mucosa. The epithelium consists of two types of cells, enterocytes and goblet cells. The enterocytes or absorptive cells are the simple columnar cells with microvilli. They’re also called the absorptive cells because of their main function of absorbing water from the colon lumen. And the goblet cells are responsible for secreting mucus. Although the cells aren’t clearly seen in this image, the mucus they produce is easily seen as the globular structures that are stained dark purple from the hematoxylin and eosin stain. The surface epithelium is continuous with straight, unbranched, tubular glands called the crypts of lieberkühn. Unlike the crypts in the small intestine, these crypts extend through the majority of the mucosa, from their openings at the intestinal surface all the way to the muscularis mucosa along the deepest portion of the overall mucosa. It may not always appear to be continuous on histological slides because the path of the crypts may not always travel along the same plane as the section of tissue taken from the colon. The superficial portions of the crypts will typically have a higher concentration of enterocytes and the deeper portions will have a high concentration of goblet cells. The tissue found between the crypts and the epithelium is the lamina propria, which consists of many types of immune cells, including plasma cells, lymphocytes, eosinophils, and macrophages. And finally, the deepest layer of the mucosa is a thin layer of smooth muscle called the muscularis mucosa.

Beneath the mucosa is the next major layer of the colon, the submucosa. This layer consists mostly of dense irregular connective tissue, but also contains blood vessels, lymphatic vessels, and the submucosal or meissner’s plexus. Meissner’s plexus is a network of nerves that innervate the goblet cells in the mucosa as well as the smooth muscle of the muscularis mucosa. In this image, there’s a relatively large cross-section of a bundle of nerve cells that are part of meissner’s plexus. We can also see a number of large blood vessels and a lymphatic vessel in the upper left of this image.

Key Takeaways

The colon is a section of the large intestine that helps to absorb water and electrolytes from food matter, and it also helps to store fecal matter until it can be eliminated from the body. The colon has three sections: the ascending colon, the transverse colon, and the descending colon. The ascending colon is located on the right side of the body, while the descending and transverse colons are on the left side. The wall of the colon has four layers. There is an inner layer called mucosa, a middle layer called submucosa, a muscular layer called muscular externa, and an outer layer called serosa.

The mucosa has enterocytes, the intestines' absorptive cells. These are simple columnar cells with microvilli, responsible for absorbing water and nutrients, and goblet cells secrete mucus. The submucosa contains connective tissue, blood, lymphatic vessels, and a network of nerves known as Meissner's plexus. The muscularis mucosa comprises two layers of smooth muscle tissue that contract and relaxes to help move food matter through the colon. The serosa is a thin layer of tissue that covers the outside of the colon and helps to protect it from infection. The colon is home to many different types of bacteria that help to break down food matter and extract nutrients from it. These bacteria also produce vitamins and other compounds that benefit the body. In addition, the colon plays an essential role in the immune system by producing antibodies that help to fight off infection.

Sources

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  3. "Robbins Basic Pathology" Elsevier (2017)
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