The ileocolonic sphincter
Abstract
Abstract The human ileocolonic sphincter (ICS) develops a sustained tone mainly due to propagated and not propagated phasic motor activity. The ileocaecocolonic segment is also able to behave, yet uncommonly, as a synchronized segment involving propagated contractions originating from the ileum and migrating to the proximal colon. The ICS motor activity alone has a limited role towards forward flow. On the contrary, the functional entity corresponding to the distal ileum and the ICS provides a clearance mechanism for reflux of colonic contents into the small intestine. The presence of short chain fatty acids (SCFA) in the distal ileum, sensed either by endocrine cells or chemo‐sensitive vagal afferents, is an important actor in triggering this clearance mechanism. The ICS tone is in part myogenic but a neuronal nitrergic component is also involved. Reflex excitatory and inhibitory responses of the ICS originating from ileal or colonic distension involve primarily spinal nitrergic and adrenergic pathways.
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Metabolic products of intestinal bacteria, such as short-chain fatty acids or chemotactic peptides, are able to stimulate the enteric nervous system and influence the rate of gut transit.
“Metabolic products of intestinal bacteria, such as short-chain fatty acids or chemotactic peptides (for example, N-formylmethionyl–leucine–phenylalanine) are able to stimulate the enteric nervous system and influence the rate of gut transit.38-40”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [40]
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Principles and clinical implications of the brain-gut-enteric microbiota axis
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“Metabolic products of intestinal bacteria, such as short-chain fatty acids or chemotactic peptides (for example, N -formylmethionyl–leucine–phenylalanine) are able to stimulate the enteric nervous system and influence the rate of gut transit”
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- Authors
- Malbert, C.
- Affiliations
- Institut National de la Recherche Agronomique (FR)
- Corresponding author
- Malbert, C‐h.
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2005-04-18
- Volume
- 17
- Issue
- s1
- Pages
- 41-49
- ISSN
- 1350-1925 (ISSN-L)
- 1365-2982
- OpenAlex
- W2032351854
- Cited by
- 58
- References
- 83
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 6 · 2020: 2 · 2019: 3 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 3
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurogastroenterology & Motility (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Surgery › Congenital gastrointestinal and neural anomalies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- sphincter tone, migrating motor complex, short-chain fatty acids, nitrergic neurotransmission, intestinal motility
- MeSH terms
- Animals, Colon, Gastrointestinal Motility, Humans, Ileocecal Valve, Ileum
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