Week 5 - liver and pancreas Flashcards
Explain the location of the liver
- right upper quadrant of abdomen
- starts in 5th intercostalspace
- ends kust below ribcage
What is the blood supply?
Duovenous
- hepatic artery and portal vein enter liver through porta hepatis
- leaves as deoxygenated blood, back to heart via hepatic vein
Function of the liver
- fat metabolism
- heat generating
- Carbohydrate metabolism
- protein metabolism
- storage
- intermediary metabolism
- secretion
- removal of RBC
What are hepatocytes ?
- large polyhedral epithelial cells, round nuclei, perminant nucleoli
- more than half contain twice the normal complement of chromosomes
- binucleate cells are common
- constantly porduce bile
How is the liver organised?
- into lobules
- which divide into hepatic sinusoids
What is a lobules?
Basic structural unit of liver, lobules made up of hepatic sinusoids
What are hepatic sinusoids?
Low-resistance system of vascular channels allowing blood to come in contact with hepatocytes over huge area
What does the portal tract consist of?
Portal vein
Atria
Bile duct
Hepatic lobule blood flow
- From portal vein and hepatic artery in portal tract to central hepatic veins
- slow flow along sinusoids lined with fenestrated endothelial cells
What does the close associaton of blood to hepatocytes allow for?
Absorption of nutrients and secretion fo hepatic porducts
What are the additional cells lining sinusoids?
Kuppfer cells
Hepatic stellate cells
What are Kuppfer cells
What are hepatic stellate cells?
By what cells is bile produced?
By all hepatocytes - groces in plasma membrane of hepatocytes form bile canliculi - fuse to form canals of hering
What is bile
- acids in lipid digestion in small intestine
- contains water, bile salts, cholesterol, bilirubin
- synthesised by all hepatocytes
- secreted into canaliculi formed by plasma membranes of adjacent hepatocytes
- contain ATPase which suggests bile secretion is energy dependent
- contain alkaline phosphatase
name the billary tree
Bile caniculi -> canals of hering -> bile ductules -> bile ducts -> hepatic duct -> common bile duct -> ampulla of vater -> duodenum