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 _____________ –Hepatopancreatic ampulla 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