Thejejunumis the second part of thesmall intestineinhumansand mosthigher vertebrates,includingmammals,reptiles,andbirds.Its lining is specialized for the absorption byenterocytesof small nutrientmoleculeswhich have been previously digested byenzymesin theduodenum.

Jejunum
Small intestine
Superior and inferior duodenal fossæ.
Details
Pronunciation/ɪˈnəm/jij-OO-nəm[2][3]
PrecursorMidgut
Part ofSmall intestine
SystemDigestive system
ArteryJejunal arteries
VeinJejunal veins
NerveCeliac ganglia,vagus[1]
Identifiers
Latinjejunum
MeSHD007583
TA98A05.6.03.001
TA22958
FMA7207
Anatomical terminology

The jejunum lies between theduodenumand theileumand is considered to start at thesuspensory muscle of the duodenum,a location called theduodenojejunal flexure.[4]The division between the jejunum and ileum is not anatomically distinct.[5]In adulthumans,the small intestine is usually 6–7 m (20–23 ft) long (post mortem), about two-fifths of which (about 2.5 m (8.2 ft)) is the jejunum.[4]

Structure

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The interior surface of the jejunum—which is exposed to ingested food—is covered in finger–like projections of mucosa, calledvilli,which increase the surface area of tissue available to absorb nutrients from ingested foodstuffs. The epithelial cells which line these villi havemicrovilli.The transport of nutrients across epithelial cells through the jejunum and ileum includes thepassive transportof sugarfructoseand theactive transportofamino acids,smallpeptides,vitamins,and mostglucose.The villi in the jejunum are much longer than in the duodenum or ileum.

ThepHin the jejunum is usually between 7 and 8 (neutral or slightlyalkaline).

The jejunum and the ileum are suspended bymesenterywhich gives the bowel great mobility within theabdomen.It also contains circular and longitudinalsmooth musclewhich helps to move food along by a process known asperistalsis.

Histology

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The jejunum contains very fewBrunner's glands(found in the duodenum) orPeyer's patches(found in the ileum). However, there are a few jejunallymph nodessuspended in its mesentery. The jejunum has many largecircular foldsin itssubmucosacalledplicae circularesthat increase the surface area for nutrient absorption. The plicae circulares are best developed in the jejunum.

There is no line of demarcation between the jejunum and the ileum. However, there are subtlehistologicaldifferences:

  • The jejunum has less fat inside its mesentery than the ileum.
  • The jejunum is typically of larger diameter than the ileum.
  • The villi of the jejunum look like long, finger-like projections, and are a histologically identifiable structure.
  • While the length of the entire intestinal tract containslymphoid tissue,only the ileum has abundantPeyer's patches,which are unencapsulatedlymphoid nodulesthat contain large numbers oflymphocytesand immune cells, likemicrofold cells.

Function

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The lining of the jejunum is specialized for the absorption byenterocytesof small nutrient particles which have been previously digested byenzymesin theduodenum.Once absorbed, nutrients (with the exception of fat, which goes to the lymph) pass from the enterocytes into theenterohepatic circulationand enter thelivervia the hepatic portal vein, where the blood is processed.[6]

Other animals

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Infish,the divisions of the small intestine are not as clear and the termsmiddle intestineormid-gutmay be used instead of jejunum.[7]

History

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Etymology

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Jejunumis derived from theLatinwordjējūnus(iēiūnus),meaning "fasting."It was so called because this part of thesmall intestinewas frequently found to be void of food followingdeath,[8]due to its intensiveperistalticactivity relative to theduodenumandileum.

TheEarly Modern Englishadjectivejejuneis derived from the same root.[9]

References

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  1. ^Nosek, Thomas M."Section 6/6ch2/s6ch2_30".Essentials of Human Physiology.Archived fromthe originalon 2016-03-24.
  2. ^OED2nd edition, 1989.
  3. ^Entry "jejunum"inMerriam-Webster Online Dictionary.
  4. ^abDrake, Richard L.; Vogl, Wayne; Tibbitts, Adam W. M. Mitchell; illustrations by Richard; Richardson, Paul (2005).Gray's anatomy for students.Philadelphia: Elsevier/Churchill Livingstone. pp.273–275.ISBN978-0-8089-2306-0.
  5. ^Deakin, Barbara Young; et al. (2006).Wheater's functional histology: a text and colour atlas(5th ed.). Churchill Livingstone/Elsevier. p. 263.ISBN978-0-443-068-508.
  6. ^CRANE, RK (Oct 1960). "Intestinal absorption of sugars".Physiological Reviews.40(4):789–825.doi:10.1152/physrev.1960.40.4.789.PMID13696269.
  7. ^ Guillaume, Jean; Praxis Publishing; Sadasivam Kaushik; Pierre Bergot; Robert Metailler (2001).Nutrition and Feeding of Fish and Crustaceans.Springer. p. 31.ISBN9781852332419.Retrieved2009-01-09.
  8. ^Harper, Douglas."jejunum".Etymology Online.Retrieved15 November2014.
  9. ^"Oxford English Dictionary: jejune, adj".
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