Difference between revisions of "Rectum"

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===Notes on the definition===
===Notes on the definition===
*On a practical level, the definition is not easy to apply from the lumen, i.e. the definition is not practical in the endoscopic context.  
*On a practical level, the definition is not easy to apply from the lumen, i.e. the definition is not practical in the endoscopic context.  
*There are several definitions for the rectum.<ref>{{cite journal |authors=Massalou D, Moszkowicz D, Mariage D, Baqué P, Camuzard O, Bronsard N |title=Is it possible to give a single definition of the rectosigmoid junction? |journal=Surg Radiol Anat |volume=40 |issue=4 |pages=431–438 |date=April 2018 |pmid=29218384 |doi=10.1007/s00276-017-1954-4 |url=}}</ref><ref name=pmid24130630>{{Cite journal  | last1 = Kenig | first1 = J. | last2 = Richter | first2 = P. | title = Definition of the rectum and level of the peritoneal reflection - still a matter of debate? | journal = Wideochir Inne Tech Maloinwazyjne | volume = 8 | issue = 3 | pages = 183-6 | month = Sep | year = 2013 | doi = 10.5114/wiitm.2011.34205 | PMID = 24130630 }}</ref>
**This is likely due to the above practical issue.


**There are several definitions for the rectum.<ref>{{cite journal |authors=Massalou D, Moszkowicz D, Mariage D, Baqué P, Camuzard O, Bronsard N |title=Is it possible to give a single definition of the rectosigmoid junction? |journal=Surg Radiol Anat |volume=40 |issue=4 |pages=431–438 |date=April 2018 |pmid=29218384 |doi=10.1007/s00276-017-1954-4 |url=}}</ref><ref name=pmid24130630>{{Cite journal  | last1 = Kenig | first1 = J. | last2 = Richter | first2 = P. | title = Definition of the rectum and level of the peritoneal reflection - still a matter of debate? | journal = Wideochir Inne Tech Maloinwazyjne | volume = 8 | issue = 3 | pages = 183-6 | month = Sep | year = 2013 | doi = 10.5114/wiitm.2011.34205 | PMID = 24130630 }}</ref>
Note:
***In a survey of surgeons:<ref name=pmid24130630/>
*In a survey of surgeons:<ref name=pmid24130630/>
***67% defined it by an anatomical landmark  
**67% defined it by an anatomical landmark  
****35% of all respondants considered the peritoneal reflection the proximal boundary of the rectum.
***35% of all respondents considered the peritoneal reflection the proximal boundary of the rectum.
***30% defined the proximal boundary as a distance from the anal verge.
**30% defined the proximal boundary as a distance from the anal verge.




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