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Hepatobiliary System

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HEPATOBILIARY SYSTEM

Hepatobiliary system refers to the liver and


extrahepatic biliary apparatus (bile ducts and gall
bladder) and the work together to make bile.
FIGURE OF HEPATOBILIARY
SYSTEM
LIVER

It is the largest gland in the body. It is reddish


brown in color, highly vascular and weighs about
1.5 kg in adults.
It lies in right hypochondrium and extends
into the eigastrium and left hypochondrium.
FUNCTION OF LIVER

• Metabolism of proteins, fats and carbohydrates.


• Synthesis of glucose by gluconeogenesis.
• Secretion of bile.
• Excretion of cholesterol.
• Destruction of old RBC.
CLINICAL CORRELATION
• Hepatitis
• Hepatomegaly
EXTRAHEPATIC BILIARY APPARATUS
Right and left hepatic ducts
Common hepatic duct
Gall bladder
Cystic duct
Common bile duct
GALL BLADDER

It is a pear- shaped reservoir of bile, situated in a fossa on


the interior surface of the right lobe of the liver. It is about 7-
10cm in length, 3cm broad at its widest part and about 30ml
in capacity.
PARTS OF GALL BLADDER

Fundus; anterior, expanded portion of gall bladder


Body; behind fundus, main part of gall
bladder
Neck; continued as the cystic duct
FUNCTION OF GALL BLADDER

• Storage of bile
• Concentration of bile
• Alteration of Ph of bile
• Secretion of mucus
• Maintenance of pressure in biliary system
BILE DUCT

• The right and left hepatic ducts join to form the


common hepatic duct.
• The hepatic duct passes downward for about 3cm
where it is joined by cystic duct from the gall bladder.
• The cystic and hepatic ducts merge forming the
common bile duct which passes downwards behind the
head of pancrease. …………continue…………
• The common bile duct is about 7.5cm long and has a
diameter of about 6mm .
• This is joined by the pancreatic duct at the hepatopancreatic
ampulla and opening into duodenum.
BILE
Bile is synthesized in the hepatocytes. Small amount of bile is
continuously transferred to gallbladder through the cytic duct
because during the interdigestive period the toe of the sphincter
(hepatopancreatic sphincter) is so high that it cannot enter
duodenum. In gallbladder bile is stored and concentrated. After a
meal , contraction of gallbladder and transfers a large volume of
bile into the duodenum.
About 700-1200 ml of bile is secreted by the liver daily.
COMPOSITION OF BILE

WATER(97%) SOLID(3%)
• Bile salt
• Electrolytes
• Conjugated bilirubin
• Cholesterol
• phospholipids
FUNCTION OF BILE

• Digestion and absorption of fat


• Absorption of fat- soluble vitamins
• Bile salts keep cholesterol in solution in the bile
• Bile gives colour and smell to fecal material.
CLINICAL CORELATIONS

• Jaundice
• Cirrhosis of liver
• Gall stones

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