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Chapter 12/15/19

Chapter 12/15/19. Gallbladder and Biliary Ducts. The Liver. Largest ___________ organ in the body Has many functions Manufactures ______ and sends it to the gallbladder (_______per day). Liver. 4 Total Lobes 2 major lobes ___________ Separated by _________ ligament 2 minor lobes

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Chapter 12/15/19

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  1. Chapter 12/15/19 Gallbladder and Biliary Ducts

  2. The Liver • Largest ___________ organ in the body • Has many functions • Manufactures ______ and sends it to the gallbladder (_______per day)

  3. Liver • 4 Total Lobes • 2 major lobes • ___________ • Separated by _________ ligament • 2 minor lobes • _____________

  4. Terminology • ________ – relating to bile • ________ – relating to a sac or bladder • ____________ – Radiograph of the gall bladder

  5. Gallbladder • Pear shaped with 3 parts • ___________ - Distal • Body – Main section • _________ – Proximal

  6. Gallbladder • Stores _________ • ___________ bile • Contract bile – When stimulated by fatty foods in duodenum by _________________hormone.

  7. Biliary Ducts • Right and left ____________ • Transport bile from _____ to common hepatic • Common _________________ • Transports bile to _________or to common bile duct • Common _________ • Transports bile to ____________

  8. Additional Ducts • ______________ • Passage from gallbladder to CBD • _____________ • Transports pancreatic enzymes to CBD

  9. Common Bile Duct • ___________long • Distal to the ____________ • Converges with the __________ duct

  10. Distal Common Bile Duct • _____________ • Hepatopancreaticampulla • Sphincter of ____________ • ______________(Papilla of Vater)

  11. Imaging the Biliary Duct • T-Tube _______________ • Operative Cholangiogram_____________ • Laparoscopic Cholecystectomy • Endoscopic Retrograde ___________ Cholangiopancreatography(ERCP)

  12. T-Tube • Catheter placed in _____________ • Tube extending ___________the body • Post _____________

  13. T-Tube • Drain excess ________prior to injection. • Connect syringe with _______________ • Assist the ______________

  14. Operative Cholangiogram • In _________ • With ____________ • Images when ____________indicates • Possible image post op

  15. ERCP Procedure • Done by _______________ • ______________ • Endo nurse • Anesthesiologist • Endoscope inserted to find ___________ • Catheter inserted to __________ • Contrast injected

  16. Imaging in ERCP • _____________ • ______________ • Post procedure ________ (Usually prone) • Or any other images the gastro or rad wants

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