Lecture 32: Abdomen V Liver, Gallbladder, Pancreas, Spleen Flashcards
what is the largest gland in the body
liver
liver functions (4)
-carbohydrate, fat and protein metabolism
-forms BILE
-destroys old RBCs
-vitamin and iron storage
destruction of RBCs in liver (what happens)
hemoglobin is excreted as bilirubin in bile
contents of bile (6)
-detoxified waste
-bile salts
-cholesterol
-phospholipid
-bilirubin
-electrolytes
why is bile necessary (4 functions)
-emulsification
-absorption
-digestion of fat
-make intestinal contents more alkaline (raise pH)
what cells produce bile
hepatocytes
what does bile mix with for absorption
chyme
location of liver
cranial to stomach
2 surfaces of liver
-visceral
-diaphragmatic
visceral surface of liver
impressions made by stomach
diaphragmatic surface
pull diaphragm away
6 lobes of liver
-right and left lateral
-right and left medial
-quadrate
-caudate
blood supply to liver
-majority from portal vein
-some from hepatic artery
hepatoduodenal ligament
portion of lesser omentum containing portal structures (hepatic artery, portal vein, bile duct)
hepatic artery
supply oxygenated blood to liver (25%)
portal vein: definition
delivers blood drained from abdominal digestive organs to liver
delivers 75% of liver’s blood supply
bile duct
delivers bile from liver and gallbladder to duodenum
where does portal vein receive blood from (2 with branches)
-gastroduodenal vein (right gastroepiploic, cranial pancreaticoduodenal)
-splenic vein (left gastroepiploic, pancreatics)
portal triad: 3 components
-portal areas
-hepatic sinusoids, bile canaliculi
-centrilobular region
portal areas: portal triad
-contain branches of portal vein, hepatic artery and bile duct
hepatic sinusoids: portal triad
-hepatocytes interact with venous and arterial blood
-hepatocytes secrete bile into bile canaliculi
bile canaliculi: definition and function
-channels formed by tight junctions between hepatocytes
-transport bile to bile ductules (biliary system)
centrilobular region: portal triad
-deO2 blood carried to central vein
where does central vein drain to
hepatic vein –> caudal vena cava
which direction does bile travel vs blood
opposite
bilirubin: definition
brown pigment from breakdown of heme
-excreted in bile
how blood and bile flows within portal triad
-material in sinusoidal blood passes through gaps in endothelial cells to enter perisinusoidal space of Disse –> absorbed by hepatocytes
gallbladder functions (3)
-collect and store bile from liver
-concentration of bile (remove water and electrolytes)
-release bile into duodenum