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Understanding the Gallbladder, Biliary Ducts, and Liver Anatomy

This chapter delves into the anatomy and functions of the gallbladder, biliary ducts, and liver. The liver is the largest organ in the body, responsible for manufacturing bile (800-1000 ml per day) and separating into four lobes. Key terms like "gallbladder" and terminology related to bile are discussed. The gallbladder’s structure, storage function, and its contraction stimulated by fatty foods are highlighted. Additionally, the anatomical pathways of the biliary ducts and the imaging techniques used for diagnosis and post-operative evaluations are explored.

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Understanding the Gallbladder, Biliary Ducts, and Liver Anatomy

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Presentation Transcript

  1. Chapter 14/22 Gallbladder and Biliary Ducts

  2. The Liver • Largest ___________organ in the body • Has ____________ • Manufactures bile and sends it to the ______________(800-1000ml per day)

  3. Liver • 4 Total Lobes • __________ • Right and Left • Separated by Falciform ligament • ____________ • Caudate and Quadrate

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

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

  6. Gallbladder • Stores __________ • ______________ bile • Contract bile – When stimulated by fatty foods in duodenum by __________________

  7. Biliary Ducts • Right and left _____________ • Transport bile from liver to common hepatic • _________________ • Transports bile to gallbladder or to common bile duct • __________________ • Transports bile to duodenum

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

  9. Common Bile Duct • 7.5 cm long • __________to the cystic duct • Converges with the ______________

  10. Distal Common Bile Duct • _____________ • Hepatopancreatic ampulla • ______________ • Duodenal papilla ________________

  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 ____________prior to injection. • Connect ______ with contrast to catheter • Assist the radiologist

  14. Operative Cholangiogram • In _______ • With __________ • Images when surgeon 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 • Scout • Fluoro (C-arm) • Post procedure ________________ • Or any other images the gastro or rad wants

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