INTESTINE

Species: Rats and Mice
Organs: Small intestine
Duodenum
Jejunum
Ileum
Large intestine
Cecum
Colon
Rectum
Peyer's patches
Localizations: 1) Duodenum: 1 cm distal to the pyloric sphincter
2) Jejunum: central section
3) Ileum: 1 cm proximal to cecum
4) Cecum
5) Colon: central section
6) Rectum: 2 cm proximal to the anus
Number of sections: 6
Direction: Transverse
Remarks: Duodenum in conjunction with an adjacent piece of pancreas
Jejunum containing Peyer's patch or lymph follicle
Optional: additional longitudinal and/or transverse section through Peyer's patches
Cecum: due to the large diameter it is advisable to open the specimen
Rectum optional: longitudinal vertical section to include the anus


Intestine in situ with mesentery and mesenteric lymph nodes.


Intestine: for the collection of specimens, the mesentery is removed (1: duodenum, 2: jejunum, 3: ileum, 4: cecum, 5: colon, 6: rectum).

Intestine in situ.


Duodenum.

Jejunum (left) and ileum (right).


Cecum.

Colon.


Rectum.

Rectum, longitudinal section (optional).


Jejunum with Peyer's patches (optional).


Tissue Tek Cassette, Fa. Vogel, Giessen, Germany.

During necropsy or after fixation, the intestine is carefully separated from the mesentery. Peyer's patches of the jejunum are mostly visible as slightly elevated lighter fields in the intestine's wall or are even discernible as prominent areas when activated. One transverse section from each part of the unopened bowel is taken. The remaining intestine should be opened and examined for abnormalities. At necropsy, the ingesta should not be removed vigorously but only gently rinsed with physiological saline if necessary.

Swiss roll technique: This technique is sometimes required for examination of the whole intestine and the gut associated lymphatic tissue (GALT). The intestine is stripped off the mesentery, opened with a pair of scissors and gently rinsed. The intestine except cecum is recoiled on cotton swabs and fixed. After fixation, the spooled intestine is detached and embedded. This procedure is technically challenging and not recommended for routine purposes, as the intestinal mucosa and the lymph follicles will often be found cut tangential. However, transverse sections as described above will often provide a better histoanatomy.

The jejunum and ileum or the distal colon and rectum cannot readily be differentiated microscopically. For consistency in routine examination of each required site, accurate sampling is necessary. In this case, the colon differs from the rectum by a thinner muscle layer and a larger lumen. For dehydration and embedding, cassettes with a subdivision are helpful.

Please note that the magnification of the histological images is not the same for all parts of the intestine.

See also:
      Pancreas
      Introduction

References
Elwell MR, McConnell EE (1990) Small and large intestine. In: Boorman GA, Eustis SL, Elwell MR, Montgomery CA, Jr, MacKenzie WF (eds) Pathology of the Fischer rat. Reference and atlas. Academic Press, San Diego New York London, pp 43–61
Kuper CF, Harleman JH, Richter-Reichelm HB, Vos JG (2000) Histopathologic approaches to detect changes indicative of immunotoxicity. Toxicol Pathol 28: 454–466
Moolenbeek C, Ruitenberg EJ (1981) The "Swiss roll": a simple technique for histological studies of the rodent intestine. Lab Anim 15: 57–59
Sminia T, Jeurissen SHM (1990) Gut-associated lymphoid tissue, rodent, normal structure. In: Jones TC, Ward JM, Mohr U, Hunt RD (eds) Monographs on pathology of laboratory animals. Hemopoietic system. Springer, Berlin Heidelberg New York Tokyo, pp 307–315
Soul NW (1987) Gut rolls: a better technique for GI tumor assessment. Toxicol Pathol 15: 374

Guidelines overview
    
 EMEAFDAMHWEPANTPOECDSTP
Duodenum +++++++
Ileum +++++++
Jejunum ++ ++++
Cecum +++++++
Colon +++++++
Rectum +1)+ +++ 
1) "if needed"
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