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Download e-book for iPad: Clinical Hepatology: Principles and Practice of by Henryk Dancygier

By Henryk Dancygier

ISBN-10: 3540938419

ISBN-13: 9783540938415

Clinical Hepatology – ideas and perform of Hepatobiliary ailments presents transparent and complete assurance of the etiology, mechanisms of illness, prognosis, and useful administration of the total spectrum of liver and biliary issues. It additionally presents a good, evidence-based overview of the speedily increasing box of hepatobiliary diseases.

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Extra info for Clinical Hepatology: Principles and Practice of Hepatobiliary Diseases

Example text

22 They surround arteries and veins and follow them to their smallest branches. Only a small part of the hepatic lymph originates from the peribiliary capillary plexuses. Intramural lymphatics are present in the larger branches of the portal and hepatic veins. This intrahepatic lymphatic network communicates through a loose subcapsular plexus with capsular lymph vessels. The lymphatic system of the gallbladder is arranged on three intercommunicating levels – mucosal, muscular and subserosal. Links to the hepatic lymph system exist.

The hepatoduodenal ligament connects the duodenum to the porta hepatis and contains the common hepatic, the cystic, and the main common bile duct, the hepatic artery with its right and left branches, the portal vein, lymphatics and nerves. In the hepatoduodenal ligament the main common bile duct is usually found anteriorly and to the right, the portal vein medially, and the hepatic artery dorsally and to the left. Many anatomical variants, however, do occur. Functional Anatomy The three main hepatic vein branches divide the liver into four sectors, each of which is supplied by a portal vein branch.

Microtubules Microtubules are a family of relatively stiff hollow structures with a cavity 15–20 nm in diameter surrounded by 5 nm walls. They are built up of two globular proteins, a- and b-tubulin. The a and b subunits form heterodimers which aggregate to form protofilaments that assemble to long tube-like microfilaments made up of stacked rings, with each ring containing 13 subunits. Free and polymerized tubulins are in a dynamic equilibrium. Microtubules may be visualized during light microscopy by using antibodies against tubulin.

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Clinical Hepatology: Principles and Practice of Hepatobiliary Diseases by Henryk Dancygier


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