Glossary entry

Italian term or phrase:

angolo di His

English translation:

His angle

Added to glossary by Katharine Prucha
Jan 25, 2005 11:00
19 yrs ago
1 viewer *
Italian term

angolo di His

Italian to English Medical Medical (general)
Contesto: intervento di bendaggio gastrico:
Sezione legamento freno-gastrico e preparazione dell’**angolo di His**
Il Gould Chiampo dà "cardiac incisure" ma non mi torna qui
Proposed translations (English)
5 His angle
2 Angle of His

Proposed translations

10 mins
Selected

His angle

His angle: angolo formato dall'esofago addominale e dal fondo dello stomaco che puo essere ampliato o ristretto dalle contrazioni della muscolatura interna obliqua che avvolge lo stomaco dal fondo

Reference VE:Gentilini/ematol.DF:secondo RLM
TERM incisura angolare di HIS
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4 KudoZ points awarded for this answer. Comment: "Grazie kia26"
30 mins

Angle of His

http://www.inamed.com/pdf/health/94163_04_LB_Product_Data_Sh...

provides a description of the technique

"Three techniques have been used to dissect on the Retrogastric Tunnel: Always under direct vision, blunt dissection is continued towards
the Angle of His until the passage is completed"

The angle of His

The esophagus joins the stomach obliquely, rather than end-on, to form an angle that bears the name of the great anatomist, His. This angulation creates a crescentic flap, a fold that lies between the gastric fundus and the most caudal two or three centimeters of the esophagus. The idea that a rise in intragastric pressure should displace this flap, making it compress the esophageal lumen into a crescentic shape, led to the concept of a flap-valve mechanism opposing gastroesophageal reflux. It was thought that, as the stomach fills, the lumen at the esophagogastric junction narrows so that the resistance to reflux increases.

A flap-valve mechanism would provide unidirectional obstruction because the force of esophageal peristalsis could open the closed lumen to create antegrade flow. However, no one actually visualized the imagined movements in the flap and the pressures measured in the esophagus and stomach did not support the theory. Also, the width of the angle of His varies greatly among individuals, and it shows no clear correlation to the occurrence of or degree of GERD. Like diaphragmatic compression, this mechanism at best could only contribute in a minor way to resist gastroesophageal reflux.

http://www.vh.org/adult/provider/internalmedicine/gerd/passi...
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