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