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 _____________

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

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

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

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

Additional Ducts ______________ –Passage from gallbladder to CBD _____________ –Transports pancreatic enzymes to CBD

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

Distal Common Bile Duct _____________ –Hepatopancreatic ampulla Sphincter of ____________ ______________(Papilla of Vater)

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 excess ________ prior to injection. Connect syringe with _______________ Assist the ______________

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

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

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