Gallbladder and Biliary Ducts

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