The Expulsion of Bile *Summary of a Paper read at a Meeting of the Bristol Medico-Chirurgical Society on 11th April, 1934.
نویسنده
چکیده
It is generally recognized that the principal factors responsible for the flow of bile into the intestine are the hepatic secretory pressure and the activity of the gall-bladder. In conjunction with these must be considered the resistance offered to the passage of bile by the structure and activity of the terminal portion of the common bile-duct and the neighbouring part of the duodenum. Hepatic Secretory Pressure. This factor has been very fully investigated in dogs by, amongst others, McMaster and Elman,1 who employed the method of " altercursive intubation " ; the cystic duct is ligated, and the common duct cut and doubly cannulated in such a way that the bile travels from the liver through a rubber tube passing through the abdominal wall and back through a similar tube into the lower part of the common duct; outside the body the two tubes are joined by a T-piece, which enables the bile pressure to be measured on a manometer. After the taking of food the liver will secrete bile against a progressive resistance until the pressure reaches about 350 mm. of bile, when secretion ceases.
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عنوان ژورنال:
دوره 51 شماره
صفحات -
تاریخ انتشار 2016