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Chapter 14/22. Gallbladder and Biliary Ducts. The Liver. Largest ___________organ in the body Has ____________ Manufactures bile and sends it to the ______________(800-1000ml per day). Liver. 4 Total Lobes __________ Right and Left Separated by Falciform ligament ____________
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Chapter 14/22 Gallbladder and Biliary Ducts
The Liver • Largest ___________organ in the body • Has ____________ • Manufactures bile and sends it to the ______________(800-1000ml per day)
Liver • 4 Total Lobes • __________ • Right and Left • Separated by Falciform ligament • ____________ • Caudate and Quadrate
Terminology • _________ – relating to bile • _________ – relating to a sac or bladder • __________ – Radiograph of the gall bladder
Gallbladder • Pear shaped with 3 parts • ________ - Distal • ________– Main section • _________ – Proximal
Gallbladder • Stores __________ • ______________ bile • Contract bile – When stimulated by fatty foods in duodenum by __________________
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
Additional Ducts • ____________ • Passage from gallbladder to CBD • ____________ • Transports pancreatic enzymes to CBD
Common Bile Duct • 7.5 cm long • __________to the cystic duct • Converges with the ______________
Distal Common Bile Duct • _____________ • Hepatopancreatic ampulla • ______________ • Duodenal papilla ________________
Imaging the Biliary Duct • T-Tube • Operative Cholangiogram • Laparoscopic Cholecystectomy • Endoscopic Retrograde Cholangiopancreatography (ERCP)
T-Tube • Catheter placed in __________ • Tube extending _______ the body • Post ________________
T-Tube • Drain ____________prior to injection. • Connect ______ with contrast to catheter • Assist the radiologist
Operative Cholangiogram • In _______ • With __________ • Images when surgeon indicates • Possible image post op
ERCP Procedure • Done by ____________ • __________ • Endo nurse • Anesthesiologist • Endoscope inserted to find __________ • Catheter inserted to _______ • Contrast injected
Imaging in ERCP • Scout • Fluoro (C-arm) • Post procedure ________________ • Or any other images the gastro or rad wants