ileum

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Ileum
Small intestine
The cecal fossa. The ileum and cecum are drawn backward and upward.
Gray's	subject #248 1171
Artery	ileal arteries
Vein	ileal veins
Nerve	celiac ganglia, vagus [1]
Precursor	midgut
Dorlands/Elsevier	Ileum

The ileum is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine may be used instead of ileum.^[2]

The ileum follows the duodenum and jejunum, and is separated from the cecum by the ileocecal valve (ICV). In humans, the ileum is about 2-4 m long, and the pH is usually between 7 and 8 (neutral or slightly alkaline).

Function

The function of the ileum is mainly to absorb vitamin B12 and bile salts and whatever products of digestion were not absorbed by the jejunum. The wall itself is made up of folds, each of which has many tiny finger-like projections known as villi on its surface. In turn, the epithelial cells which line these villi possess even larger numbers of microvilli. Therefore the ileum has an extremely large surface area both for the adsorption (attachment) of enzyme molecules and for the absorption of products of digestion. The DNES (diffuse neuroendocrine system) cells of the ileum secrete various hormones (gastrin, secretin, cholecystokinin) into the blood. Cells in the lining of the ileum secrete the protease and carbohydrase enzymes responsible for the final stages of protein and carbohydrate digestion into the lumen of the intestine. These enzymes are present in the cytoplasm of the epithelial cells.

The villi contain large numbers of capillaries which take the amino acids and glucose produced by digestion to the hepatic portal vein and the liver. Lacteals are small lymph vessels, and are present in villi. They absorb fatty acid and glycerol, the products of fat digestion. Layers of circular and longitudinal smooth muscle enable the digested food to be pushed along the ileum by waves of muscle contractions called peristalsis.

Differences between jejunum and ileum

There is no line of demarcation between the jejunum and the ileum. There are, however, subtle differences between the two.

• The ileum has more fat inside the mesentery than the jejunum.
• The ileum is a paler color, and tends to be of a smaller caliber as well.
• While the length of the intestinal tract contains lymphoid tissue, only the ileum has abundant Peyer's patches, unencapsulated lymphoid nodules that contain large amounts of lymphocytes and other cells of the immune system.

Embryology

In the fetus the ileum is connected to the navel by the vitelline duct. In roughly 3% of humans, this duct fails to close during the first seven weeks after birth, causing a condition called Meckel's diverticulum.

Veterinary anatomy

In veterinary anatomy, the ileum is distinguished from the jejunum by being that portion of the jejunoileum that is connected to the caecum by the ileocecal fold.

Additional images

Inferior ileocecal fossa.	Arteries of cecum and vermiform process.	Goblet cell in ileum	General structure of the gut wall.
Dog Ileum 40X

References

1. ^ Physiology at MCG 6/6ch2/s6ch2_30
2. ^ Guillaume, Jean; Praxis Publishing, Sadasivam Kaushik, Pierre Bergot, Robert Metailler (2001). Nutrition and Feeding of Fish and Crustaceans. Springer. p. 31. ISBN 1852332417, 9781852332419. http://books.google.ca/books?id=As0flTZo_EAC&pg=PA31&lpg=PA31&dq=fish+cytology+jejunum+duodenum&source=web&ots=VIP6JtTU26&sig=3pt3XfiCKfEKZZ-tFmzpHD_90Cw&hl=en&sa=X&oi=book_result&resnum=4&ct=result#PPA31,M1. Retrieved 2009-01-09. 

External links

• SUNY Labs 37:11-0101 - "Abdominal Cavity: The Jejunum and the Ileum"
• SUNY Anatomy Image 7787
• SUNY Anatomy Image 8755
• Histology at BU 12001oca
• Ileal Villi at endoatlas.com
• Ileum Microscopic Cross Section at nhmccd.edu
• Ileum 20x at deltagen.com
• Peyer's Patches at thehealthnews.org