© 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules...

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© 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreati c duct Lobules Tail of pancreas Body of pancreas Head of pancreas Duodenum Duodenal papilla Accessory pancreatic duct a The gross anatomy of the pancreas. The head of the pancreas is tucked in to a C-shaped curve of the duodenum that begins at the pylorus of the p. 908

Transcript of © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules...

Page 1: © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules Tail of pancreas Body of pancreas Head of pancreas.

© 2015 Pearson Education, Inc.

Figure 24-18a The Pancreas.

Commonbile duct

Pancreaticduct

Lobules Tail ofpancreas

Body ofpancreas

Head ofpancreas

Duodenum

Duodenalpapilla

Accessorypancreatic

duct

a The gross anatomy of the pancreas. The head of thepancreas is tucked in to a C-shaped curve of theduodenum that begins at the pylorus of the stomach. p. 908

Page 2: © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules Tail of pancreas Body of pancreas Head of pancreas.

© 2015 Pearson Education, Inc.

Figure 24-18b The Pancreas.

b

Pancreatic duct

Connective tissue septum

Exocrine cells inpancreatic acini

Endocrine cells inpancreatic islet

Diagram of the cellularorganization of the pancreas.

p. 908

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© 2015 Pearson Education, Inc.

Figure 24-19a The Anatomy of the Liver (Part 2 of 2).

A transverse section through the superior abdomen (diagrammatic view)a

Falciform ligament

Porta hepatis

Right lobe of liver

Caudate lobeof liver

Inferior vena cava

Pleural cavity

Cut edgeof diaphragm

Spleen

Lesseromentum

Stomach

Left lobe of liver

Sternum

Aorta

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Page 4: © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules Tail of pancreas Body of pancreas Head of pancreas.

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Figure 24-19b The Anatomy of the Liver.

The anterior surface of the liver

Coronary ligament

Falciformligament

Round ligament

Gallbladder

b

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Figure 24-19c The Anatomy of the Liver.

CoronaryligamentLeft hepatic vein

Inferior vena cava

Caudate lobe

Porta Hepatis

Hepatic portal vein

Hepatic artery proper

Common bile duct

Quadrate lobe

Gallbladder

The posterior surface of the liverc

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Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

© 2012 Pearson Education, Inc. © 2015 Pearson Education, Inc.

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Figure 24-20a Liver Histology.

A diagrammatic view of liver structure, showing relationships among lobules

Interlobularseptum

Bileduct

Branch ofhepatic portal vein Portal area

Bileductules

1 mm

a

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Figure 24-20b Liver Histology.

Sinusoid

Hepatocytes

Centralvein

Kupffercells

Bilecanaliculi

Bile duct

Branch of hepaticportal vein

Branch of hepaticartery proper

Portal Area

A single liver lobule and its cellularcomponents

b

p. 911

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Figure 24-21a The Anatomy and Physiology of the Gallbladder and Bile Ducts.

Round ligament

Right hepatic duct

Cystic duct

Fundus

Body

Neck

Left hepatic duct

Common hepatic duct

Common bile duct

Left hepatic artery

Cut edge of lesseromentum

Hepatic portal vein

Common hepaticartery

Right gastric artery

Gallbladder

a A view of the inferior surface of the liver, showing the position of the gallbladder and ducts that transport bile from the liver to the gallbladder and duodenum.A portion of the lesser omentum has been cut away.

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Page 10: © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules Tail of pancreas Body of pancreas Head of pancreas.

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Figure 24-21b The Anatomy and Physiology of the Gallbladder and Bile Ducts.

Hepatopancreaticsphincter

Pancreaticduct

Commonbile duct

Duodenalampulla

Duodenalpapilla

Intestinal lumen

b A sectional view through a portion of the duodenal wall,showing the duodenal ampulla and related structures.

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Page 11: © 2015 Pearson Education, Inc. Figure 24-18a The Pancreas. Common bile duct Pancreatic duct Lobules Tail of pancreas Body of pancreas Head of pancreas.

© 2015 Pearson Education, Inc.

Figure 24-21c The Anatomy and Physiology of the Gallbladder and Bile Ducts.

A radiograph (cholangiogram, anterior-posterior view) ofthe gallbladder, biliary ducts, and pancreatic ducts.

Left hepatic duct

Right hepatic duct

Commonhepatic duct

Gallbladder

Neck

Body

Duodenum

Commonbile duct

Fundus

c

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Figure 24-21d The Anatomy and Physiology of the Gallbladder and Bile Ducts.

Duodenum

CCK

Lipiddroplet

Physiology of the gallbladder.d

4

2

3

In the lumen ofthe digestive tract,bile salts breakthe lipid dropletsapart by emulsification.

1

Bile becomes moreconcentrated thelonger it remains inthe gallbladder.

Liver

The liversecretes bilecontinuously—about 1liter per day.

The release of CCK by theduodenum triggers dilationof the hepatopancreaticsphincter and contractionof the gallbladder. This ejectsbile into the duodenumthrough the duodenal ampulla.

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Figure 24-23 The Functions of Major Digestive Tract Hormones.

Ingested food

Chyme induodenum

Materialarrives in

jejunum

Food instomach

Gastrin

GIP

Secretinand CCK

VIP

facilitates

facilitates

stimulates

inhibits

KEY

Hormone Action

Acid production byparietal cells

Stimulation of gastricmotility; mixing wavesincrease in intensity

Release of insulinfrom pancreas

Release of pancreaticenzymes and buffers

Bile secretion andejection of bilefrom gallbladder

Dilation of intestinalcapillaries

Nutrient absorptionNUTRIENT

UTILIZATIONBY ALL TISSUES

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© 2012 Pearson Education, Inc. © 2015 Pearson Education, Inc.

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p. 927Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

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