Expansion of Various Types of Heal Reservoirs in situ

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Abstract
In experiments on rats four types of ileal reservoirs were constructed and left to expand in situ. After 3 months the volumes and tissue weights of the various reservoirs were compared. The reservoir types were: two loops, isoperistaltic (type I), two loops, antiperistaltic (type II), three loops, S-shaped (type III) and ‘four loops’, double-folded U loop (Kock pouch) (type IV). There was a considerable volume increase in all types of reservoir as well as a marked increase in their tissue weight. The expansion of the reservoirs in groups III and IV was significantly greater than that in groups I and II. The difference in expansion could possibly be explained by the greater radius in three- and four-loop reservoirs compared with two-loop reservoirs if Laplace’s law is applied to this process. According to this law the tension in the wall of a tube increases with increasing radius.