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The biliary tract can also serve as a reservoir for intestinal tract infections. Since the biliary tract is an internal organ, it has no somatic nerve supply, and biliary colic due to infection and inflammation of the biliary tract is not a somatic pain. Rather, pain may be caused by luminal distension, which causes stretching of the wall.
The bile duct [1] [4] (formerly known as the common bile duct [4]) is a part of the biliary tract. [4] 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 hepatopancreatic ampulla. It possesses its sphincter to enable the regulation of bile flow.
Pneumobilia is the presence of gas in the biliary system.It is typically detected by ultrasound or a radiographic imaging exam, such as CT, or MRI.It is a common finding in patients that have recently undergone biliary surgery or endoscopic biliary procedure.
Intrahepatic bile ducts compose the outflow system of exocrine bile product from the liver. They can be divided into: [2] Lobar ducts (right and left hepatic ducts) - stratified columnar epithelium. Interlobar ducts (between the main hepatic ducts and the interlobular ducts) - pseudostratified columnar epithelium.
Other biliary tract cancers include gallbladder cancer and cancer of the ampulla of Vater. [7] Risk factors for cholangiocarcinoma include primary sclerosing cholangitis (an inflammatory disease of the bile ducts), ulcerative colitis, cirrhosis, hepatitis C, hepatitis B, infection with certain liver flukes, and some congenital liver malformations.
The common hepatic duct is the first part of the biliary tract. [2] It is formed by the union of the right hepatic duct (which drains bile from the right functional lobe of the liver) and the left hepatic duct (which drains bile from the left functional lobe of the liver). [3] The duct is about 3 cm long. [4]
The digestive system functions to move material through the GI tract via peristalsis, break down that material via digestion, absorb nutrients for use throughout the body, and remove waste from the body via defecation. [3] Physicians who specialize in the medical specialty of gastroenterology are called gastroenterologists or sometimes GI doctors.
Hepatology is the branch of medicine that incorporates the study of liver, gallbladder, biliary tree, and pancreas as well as management of their disorders. Although traditionally considered a sub-specialty of gastroenterology , rapid expansion has led in some countries to doctors specializing solely on this area, who are called hepatologists .