It passes to the right behind the peritoneum, and in front of the right internal spermatic or ovarian vessels, the right ureter and the Psoas major, toward the middle of the ascending colon; sometimes the vessel lies at a higher level, and crosses the descending part of the duodenum and the lower end of the right kidney.
22.
However, at the oral cavity, thoracic esophagus, ascending colon, descending colon and the rectum, the muscularis externa is instead bounded by adventitia . ( The muscularis externa of the duodenum is bounded by both tissue types . ) Generally, if it is a part of the digestive tract that is free to move, it is covered by serosa, and if it is relatively rigidly fixed, it is covered by adventitia.
23.
At some point after the first surgery, Crohn's disease can recur in the healthy parts of the intestine, usually at the resection site . ( For example, if a patient with Crohn's disease has an ileocecal anastomosis, in which the caecum and terminal ileum are removed and the ileum is joined to the ascending colon, their Crohn's will nearly always flare-up near the anastomosis or in the rest of the ascending colon ).
24.
At some point after the first surgery, Crohn's disease can recur in the healthy parts of the intestine, usually at the resection site . ( For example, if a patient with Crohn's disease has an ileocecal anastomosis, in which the caecum and terminal ileum are removed and the ileum is joined to the ascending colon, their Crohn's will nearly always flare-up near the anastomosis or in the rest of the ascending colon ).
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