Circular folds
Plicae circulares
- Latin eponym: Plicae Kerckringi
- Eponym: Valves of Kerckring
Definition
he circular folds (plicæ circulares [Kerkringi]; valvulæ conniventes; valves of Kerkring) are large valvular flaps projecting into the lumen of the bowel.
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 retard the passage of the food along the intestines, and afford an increased surface for absorption.
