Biliary Tree
Biliary Tree • BILIARY TREE
Biliary Tree
Biliary Tree
Biliary Tree • Function – Secrete bile for digestion • Bile salts • Cholesterol • Water – Toxin expelling • Toxin dissolved in oil
Biliary Tree • GENERAL CONSIDERATIONS IN BILIARY TREE PATHOPHYSIOLOGY – Symptoms – Laboratory Tests – Imaging Studies – Bacteriology ⚫ Pain ➢ Colic pain or other ⚫ Jaundice ➢ elevation of the serum bilirubin level ⚫ Fever ➢ infection ➢ inflammation
Biliary Tree • GENERAL CONSIDERATIONS IN BILIARY TREE PATHOPHYSIOLOGY – Symptoms – Laboratory Tests – Imaging Studies – Bacteriology ⚫ CBC ➢ Infection ⚫ Liver function tests ➢ Bilirubin ➢ Alkaline phosphatase ⚫ Coagulation function tests
Biliary Tree • GENERAL CONSIDERATIONS IN BILIARY TREE PATHOPHYSIOLOGY – Symptoms – Laboratory Tests – Imaging Studies – Bacteriology ⚫ Ultralsound ➢ Sotnes ➢ inflammation ⚫ Plian films ➢ stones ⚫ MRI and MRCP ⚫ CT ⚫ ERCP
Biliary Tree • GENERAL CONSIDERATIONS IN BILIARY TREE PATHOPHYSIOLOGY – Symptoms – Laboratory Tests – Imaging Studies – Bacteriology ⚫ gram-negative aerobes ⚫ Enterobacteriacae ➢ Escherichia coli ➢ Klebsiella ➢ Enterobacter
BILIARY DISEASE • BENIGN BILIARY DISEASE – Infection – Obstruction – Bleeding – Parasites and parasitic disease – Benign neoplasm • MALIGNANT BILIARY DISEASE – Cancer – Matastatic neoplasm ✓Calculous Biliary Disease ✓Chronic Cholecystitis ✓Acute Calculous Cholecystitis ✓Choledocholithiasis ✓Gallstone Pancreatitis ✓Biliary Dyskinesia ✓✓Gallbladder Cancer Sphincter of Oddi Dysfunction ✓Bile Duct Cancer ✓Metastatic and other tumors