Circular folds

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Circular folds
Interior of the descending portion of the duodenum, showing bile papilla.
Latin plicae circulares
Gray's subject #248 1173
Dorlands/Elsevier p_24/12648947

The circular folds (valves of Kerckring) (also, plicae circulares) are large valvular flaps projecting into the lumen of the bowel.

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They are composed of reduplications of the mucous membrane, the two layers of the fold being bound together by submucous tissue; unlike the folds in the stomach, they are permanent, and are not obliterated when the intestine is distended.

The majority extend transversely around the cylinder of the intestine for about one-half or two-thirds of its circumference, but some form complete circles, and others have a spiral direction; the latter usually extend a little more than once around the bowel, but occasionally two or three times.

The larger folds are about 8 mm. in depth at their broadest part; but the greater number are of smaller size.

The larger and smaller folds alternate with each other.

They are not found at the commencement of the duodenum, but begin to appear about 2.5 or 5 cm. beyond the pylorus.

In the lower part of the descending portion, below the point where the bile and pancreatic ducts enter the intestine, they are very large and closely approximated.

In the horizontal and ascending portions of the duodenum and upper half of the jejunum they are large and numerous, but from this point, down to the middle of the ileum, they diminish considerably in size.

In the lower part of the ileum they almost entirely disappear; hence the comparative thinness of this portion of the intestine, as compared with the duodenum and jejunum.

The circular folds slow the passage of the food along the intestines, and afford an increased surface for absorption. They are covered with small fingerlike projections called villi (singular, villus). Each villus, in turn, is covered with microvilli. The microvilli absorb fats and nutrients from the chyme.

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

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