April 19, 2011 # 5:15 pm # Hepatobiliary # 2 Comments
Alcoholic Liver Disease
Alcohol is a toxic substance to the liver and remains one of the most common causes of chronic liver disease.
The spectrum of ALD is broad and a single patient may be affected by more than one of the following conditions;fatty liver, alcoholic hepatitis or alcoholic cirrhosis.
ALD does not occur below a threshold of 21 units/week in women and …
July 18, 2010 # 4:05 pm # Hepatobiliary # No Comment
Also Known as Fulminant Hepatic Failure, it is a Syndrome in which hepatic encephalopathy, characterized by mental changes progressing from confusion to stupor and coma, and results from a sudden severe impairment of hepatic function. According to some authors, Acute liver failure is a broad term and encompasses both fulminant hepatic failure and subfulminant hepatic failure.
Fulminant hepatic failure (FHF) …
May 18, 2010 # 10:30 pm # Hepato-biliary, Hepatobiliary # No Comment
Liver Blood supply:
The liver derives blood from the hepatic artery (20%) and the portal vein (80%).
The hepatic artery usually arises from the aorta at the coeliac axis and divides into the right and left branches at the hilus.
The venous drainage from the liver is by three large hepatic veins right, middle and left into the inferior vena cava (IVC), …
February 3, 2010 # 5:03 pm # Hepatobiliary # 3 Comments
Indications for diagnostic paracentesis:
Cirrhotic patients with ascites at admission
Cirrhotic patients with …
December 9, 2009 # 10:04 pm # Hepatobiliary, Presentations # 3 Comments
Alcohol are hydroxy derivatives of aliphatic hydrocarbons.
C6H12 O6 (sugar) —-zymase—-> 2 CO2+ 2C 2 H 5 OH
Metabolism of Alcohol:
Alcohol is metabolized in liver by alcohol dehydrogenase
90% – processed in liver
10% – excreted (eliminated unchanged from kidneys and lungs)
Absorption mostly from small intestine and only 10% from stomach.
Peak effect in 30 to 90 min (30 to 60 min in empty stomach)