how to differentiate jejunum and ilium during laparotomy?

[Kenji]

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Hi guy,do you know how to differentiate jejunum and ilium during laparotomy?

 

[SocialistMD]

Yes. One is proximal and one is distal. That's all you really need to know. There are differences in the lengths of your feeding vessels and proximitiy of bowel to the arcades, but no surgeon will ever ask you to tell which is which based on that.

 

[QuizzicalApe]

The traditional method of following the bowel practiced by our anatomy department head was to grab hold of it at the end of the duodenum, move toward the colon, and say "jejunum jejunum jejunum" 2/3rds of the time, and "ileum ileum ileum" for the last 3rd.

 

[Kenji]

Thank for participate.but I want to know that how do we differentiate the border of jejunum and ilium by macroscopic during we do the laparotomy?

 

[BigRedder]

It is really a transition from one to the other, and you would have to ask a pathologist. For the purposes of surgery it is anatomic and imprecise.

 

[Kenji]

Thank all of you guy

 

[Cruzinman]

The ilium is a pelvic bone. You should be able to distinguish it from the jejunum.