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This theory involving chronic venous obstruction suggests that ____________________ episodes of colonic distention are associated with ____________________ increases in lumen pressure and size . , which results in multiple episodes of increasing wall tension with obstruction of submucosal venous ____________________ , especially where these vessels pierce the smooth muscle layers of the colon . Over many years , this process ____________________ gradual dilation of the submucosal veins and , eventually , dilation ____________________ the venules and arteriolar capillary units feeding them . Ultimately , the capillary ____________________ dilate , the precapillary sphincters lose their competency , and a small arteriovenous communication forms . ____________________ accounts for the characteristic early - filling vein observed during mesenteric angiography .