Common Bile Duct > 자유게시판

The common bile duct (also bile duct) is a part of the biliary tract. It is formed by the union of the common hepatic duct and cystic duct. It ends by uniting with the pancreatic duct to form the ampulla of Vater (hepatopancreatic ampulla). Its sphincter the sphincter of Oddi, enables the regulation of bile flow. The bile duct is some 6-8 cm long, and normally up to 8 mm in diameter. Its proximal supraduodenal part is situated within the free edge of the lesser omentum. Its middle retroduodenal part is oriented inferiorly and right-ward, and is situated posterior to the first part of the duodenum, and anterior to the inferior vena cava. Its distal paraduodenal part is oriented still more right-ward, cbd tincture dosage is accommodated by a groove upon (sometimes a channel within) the posterior cbd tincture dosage aspect of the head of the pancreas, and is situated anterior to the right renal vein. The bile duct terminates by uniting with the pancreatic duct (at an angle of about 60°) to form the Ampulla of Vater (hepatopancreatic ampulla).

The distal extremity of the bile duct invariably features its own sphincter (the pancreatic duct and the Ampulla of Vater usually possess sphincters of their own to allow the flow of pancreatic juice to be regulated independently, however, these two can be absent). Several problems can arise within the common bile duct, usually related to its obstruction. 1mm diameter allowed for each decade over 60 years. It normally gets slightly dilated after cholecystectomy, with upper limit (95% prediction interval) being about 10 mm after a few months. On abdominal ultrasonography, the common bile duct is most readily seen in the porta hepatis (where the CBD lies anterior to the portal vein and hepatic artery). The absence of Doppler signal distinguishes it from the portal vein and hepatic artery. Borderline of a dilated perihilar bile duct, measuring 8 mm. Dilatation of CBD due to an ampullary tumor. Tumours in the head of the pancreas may come to obstruct the distal bile duct.

If obstructed by a gallstone, a condition called choledocholithiasis can result. In this obstructed state, the duct is especially vulnerable to an infection called ascending cholangitis. One form of treatment is a cholecystenterostomy. Rare deformities of the common bile duct are cystic dilations (4 cm), choledochoceles (cystic dilation of the ampulla of Vater (3-8 cm)), and biliary atresia. Obstruction of the common bile duct and related jaundice has been documented since at least since the time of Erasistratus. The gall-bladder and bile ducts lay open. Choledochoduodenostomy - a surgical procedure to create a connection between the common bile duct (CBD) and an alternative portion of the duodenum. Agabegi, Steven S.; Agabegi, Elizabeth D. (23 August 2012). Step-Up to Medicine. Lippincott Williams & Wilkins. Standring S, Borley NR, eds. 2008). Gray's anatomy : the anatomical basis of clinical practice. Brown JL, Moore LA (40th ed.). London: Churchill Livingstone. pp. Sinnatamby, cbd tincture dosage Chummy S. (2011). Last's Anatomy (12th ed.). Feng, B; Song, Q (1995). "Does the common bile duct dilate after cholecystectomy? Sonographic evaluation in 234 patients". American Journal of Roentgenology. Humes, H. David (2001). Kelley's Essentials of Internal Medicine. Lippincott Williams & Wilkins. Bateson, Malcolm C., ed. 1986). Gallstone Disease and its Management. Dordrecht: cbd tincture dosage Springer Netherlands. p. Miederer, S.; Lindstaedt, H.; Siedek, M.; Franken, Th. Deutsche Medizinische Wochenschrift (in German).

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