ArticleAnnals of the Royal College of Surgeons of England2015
Segmental colonic length and mobility.
Article in Annals of the Royal College of Surgeons of England, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- The Relation between Red Meat and Whole-Grain Intake and the Colonic Mucosal Barrier: A Cross-Sectional Study.Nutrients · 2020Trial
- CT colonography for longitudinal in-vivo assessment of colonic lengthening in middle-age and older adults.Abdominal radiology (New York) · 2026Article
- Protocol for Immune Cell Isolation, Organoid Generation, and Co-culture Establishment from Cryopreserved Whole Human Intestine.Bio-protocol · 2025Article
- Experimental Measurements of the Length of the Human Colon: A Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2024Review
- Measurement of human peritoneal surface area using artificial intelligence software in abdominal computed tomography.Korean journal of clinical oncology · 2024Article
- Transverse colon diverticulitis mimicking acute appendicitis.BMJ case reports · 2024Article
- Advances in artificial intelligence and computer science for computer-aided diagnosis of colorectal polyps: current status.Endoscopy international open · 2023Review
- Laparoscopic extended right hemicolectomy versus laparoscopic transverse colectomy for mid-transverse colon cancer: a multicenter retrospective study from Kanagawa Yokohama Colorectal Cancer (KYCC) study group.International journal of colorectal disease · 2022Article
- Colonoscopy-related colonic ischemia.World journal of gastroenterology · 2021Review
- Understanding the physiology of human defaecation and disorders of continence and evacuation.Nature reviews. Gastroenterology & hepatology · 2021Review
- Use of right colon vaginoplasty in gender affirming surgery: proposed advantages, review of technique, and outcomes.Surgical endoscopy · 2021Review
- CT colonography evaluation of the relationship between colon anatomy and diverticula.The British journal of radiology · 2020Article
- Redundant: A case of complicated dolichocolon in a neonate.Radiology case reports · 2019Article
- Volvulus of the ascending colon due to failure of zygosis: A case report and review of the literature.International journal of surgery case reports · 2019Article
- Dolichocolon revisited: An inborn anatomic variant with redundancies causing constipation and volvulus.World journal of gastrointestinal surgery · 2018Review
- How to perform gastrointestinal ultrasound: Anatomy and normal findings.World journal of gastroenterology · 2017Review
- Evaluation of intestinal ultrasound for disease activity assessment in patients with inflammatory bowel disease: A cross-sectional study at a tertiary centre in Malaysia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLocoregional variation in the human colon is important in surgical practice; the length and mobility of different colonic regions impacts on laparoscopic and endoscopic colorectal procedures. The aim of this study was to refine anatomical understanding of the colon in terms of segmental length and mobility.
methodsThe colons of 35 cadavers were examined to determine lengths of caecum as well as ascending, transverse, descending and rectosigmoid colon, and to characterise colonic mobility at each location in terms of the mesenteric attachments. The presence of Jackson's membrane (a congenital peritoneal band of the right colon) was also documented.
resultsThe mean total colonic length was 131.2cm (standard deviation [SD]: 13.4cm). There was no correlation with height, age or sex; the best predictor of total colonic length was the length of the rectosigmoid segment. The mean height of the transverse mesocolon was 7.4cm (SD: 3.6cm) and that of the sigmoid mesocolon was 6.3cm (SD: 2.6cm). Two-thirds of the subjects had a mobile portion of the ascending colon and nearly one-third had a mobile descending colon. A mobile ascending colon was significantly more common in females. Jackson's membrane was present in 66% of the subjects.
conclusionsThis cadaveric study suggests that rectosigmoid length accounts for most of the variability in total colonic length. The significant proportion of colons with mobility of the ascending and descending segments prompts revision of the traditional anatomical teaching of these segments as fixed and retroperitoneal. Mobility of the ascending colon may account for the anecdotal finding that colonoscopy is more challenging in female patients. Jackson's membrane was identified in most colons.
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