ANATOMY for Colon Cancer

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    Mouth is the first portion of the alimentarycanal that receives food and saliva.

    Esophagus or oesophagus sometimesknown as the gullet consists of a muscular

    tube through which food passes from the

    pharynx to the stomach.

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    Stomach is a muscular, hollow, dilated part

    of the alimentary canal which functions asthe primary organ of the digestive tract

    S

    mall intestine finishes the process ofdigestion, absorbs the nutrients, and passes

    the residue on to the large intestine. The

    liver, gallbladder, and pancreas are

    accessory organs of the digestive system

    that are closely associated with the small

    intestine.

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    Large intestine serves as a reservoir forthe liquids emptied into it, through the

    ileocecal valve, from the small intestine. It

    has a much larger diameter than the smallintestine. The large intestine, or colon,

    may be divided into the cecum, ascending

    colon, transverse colon, descending colon,and sigmoid colon.

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    The primary function of the colon is to

    absorb water and electrolytes

    (substances, such as salts, that in solutiontake on an electrical charge) from the ileal

    contents and to store fecal material until

    it can be evacuated by defecation.

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    Rectum (from the Latin rectum

    intestinum, meaning straight

    intestine) is the final straight portion

    of the large intestine. The human

    rectum is about 12 cm long.

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    LAYERS OF THE MUSCLE OF

    COLON

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    The mucosa is the innermost layer of the

    colon. Major components of the mucosa

    include a single layer of epithelial cells, alayer of connective tissue (the lamina

    propria), and a thin muscle layer (the

    lamina muscularis mucosae).The mucosa is lined with goblet cells,

    which are glands that secrete mucus to

    help move material through the colon.When you get a colonoscopy or

    sigmoidoscopy, it's your mucosa that the

    doctor's inspecting for polyps.

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    Just outside the submucosa is a band of

    circular muscle. The band surrounds the

    entire colon and is the first half of the

    muscularis externa. When this circular

    muscle contracts, it helps move waste

    material along the colon. If you prefer a

    more familiar example, envision a fat,

    flexible hose with some water standing in

    it. If you were to wrap your hand around

    that hose and squeeze, the water would

    move along. Circular muscle performs the

    same sort of function in the colon.

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    The second half of the muscularis externa is

    comprised of a band oflongitudinal

    muscle. It's referred to as "longitudinal"because it runs lengthwise along the colon.

    When this muscle contracts, it works in

    conjunction with the circular muscle tocreate a wavelike motion (called peristalsis)

    that moves waste material through the

    colon. For a familiar example, think ofsomeone playing an accordian. When the

    longitudinal muscle contracts, it makes the

    colon shorter.

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    The serosa is the outmost layer of the

    colon. If you think of your colon as a gardenhose, the serosa is the part of the hose that

    touches your hand. The serosa is also called

    the adventitia and its main purpose is tomake sure your colon stays put while you

    move around.

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    C. Nursing history.History of present illness: Colon cancer

    Admitting Diagnosis: Abdominal mass,

    Abdominal enlargementAdmitting physician: Dr. Avelin0 Obispo

    Admission: August 25, 2010