Clinical Hepatology: Principles and Practice of by Henryk Dancygier

By Henryk Dancygier

Clinical Hepatology – ideas and perform of Hepatobiliary illnesses offers transparent and finished assurance of the etiology, mechanisms of sickness, analysis, and functional administration of the complete spectrum of liver and biliary issues. It additionally offers a superb, evidence-based assessment of the quickly increasing box of hepatobiliary diseases.

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Additional resources for Clinical Hepatology: Principles and Practice of Hepatobiliary Diseases

Example text

A tongueshaped inferior extension of the lateral aspect of the right liver lobe is termed Riedel’s lobe. The entire surface of the liver is covered by a thin connective tissue capsule, Glisson’s capsule, which lies just beneath a layer of flat peritoneal mesothelial cells. Extensions of the capsular fibrous tissue are continuous with the connective tissue within the liver. Most of the liver surface is covered by peritoneum, except for the site of attachment of the gallbladder, the fossa vesicae felleae, and a small area on the posterior surface, area nuda, that adheres firmly to the diaphragm.

Non-hepatocytes contain 43% of the volume of all liver lysosomes, with Kupffer cells possessing 22%. Sinusoidal endothelial cells, Kupffer cells and pit cells are in direct, close contact with sinusoidal blood. 3% fall upon the nucleus Hepatocytes Stellate Cell Space of Disse Fig. 8 Schematic representation of various cell types and their location in the human liver stellate cells and of hepatocytes with blood occurs primarily in the space of Disse (Fig. 8). In addition to the aforementioned cells the intrahepatic biliary epithelial cells (cholangiocytes) are also considered among the organotypic cells of the liver.

The modified proteins enter the trans-Golgi network for sorting and delivery to the appropriate targets. Presently there are two models for intra-Golgi transport. In the vesicular transport model, transport vesicles carry cargo proteins through the Golgi stack and also transport materials in a backward direction in protein coated vesicles. In the cisternal maturation model, proteins are transported within the cisternae, and membranous vesicles carry back resident proteins only in a retrograde direction.

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