Biliary Disorders

Question 1

What is the primary functions of the gallbladder

Answer 1

concentrate, store, and excrete bile

Question 2

bile consists off ______, ______, ______, _______, _______, and _______

Answer 2

bile salts
cholesterol
bilirubin
water
phospholipids
electrolytes

Question 3

Function of bile

Answer 3

emulsification of fat for digestion

formation of micelles to transport fatty acids and fat-soluble vitamins to intestinal brush border for absorption

Question 4

Answer 4

LEFT:
right hepatic duct
gallbladder
cystic duct
duodenum

RIGHT:
left hepatic duct
pancreas
common hepatic duct
pancreatic duct

Question 5

what is Colelithiasis

Answer 5

formation of stones (calculi) in the gallbladder

Question 6

stones in gallbladder consist of _____, ______, and ______

Answer 6

cholesterol
bilirubin
calcium salts

Question 7

when do stones form in cholelithiasis

Answer 7

There is an imbalance in the substances that make up bile=> too much free cholesterol

Inability of the gallbladder to empty properly

Question 8

RISK FACTORS FOR CHOLELITHIASIS

_____ gender
______ age

Ethnicity ?

Condition ______
Diseases ?

Answer 8

female
older

native Americans, Scandinavian, and Mexican american

pregnancy
DM, CD, cirrhosis

Question 9

RISK FACTORS FOR CHOLELITHIASIS

Obesity & _______ distribution
High dietary____ intake over a prolonged period
Physical inactivity
Rapid _______

Medications: _____, ______, and _______
Long-term __________

Answer 9

android fat
fat
weight loss

oral contraceptives, estrogen therapy, gemfibrozil
parenteral nutrition

Question 10

Choledocholithiasis

Answer 10

gallstone becomes lodged in the common bile duct leading to obstruction

Question 11

bilirubin is fromed from

Answer 11

broken down hemoglobin

Question 12

signs and symptoms of choledocholithiasis

Answer 12

cramping pain
increases bilirubin
jaundice

Question 13

complications

Answer 13

fat malabsorption
cholecystitis
liver damage
lodged in sphincter of oddi (gallstone pancreatitis)

Question 14

Treatment of Cholelithiasis include a __________,
__________ medications such as __________,
____________________
_____________ for stones in bile dict or sphincter of oddi

Answer 14

cholecystectomy
litholytic medications (ursodeoxycholic)
extracorporeal shock wave lithotripsy
ERCP (endoscopic retrograde cholangiopancreatography)

Question 15

Prevention of Cholelithiasis

Recommend a diet low in _____ and high in ____
Replace simple sugars & refined CHO sources with _______ sources
Encourage a more _______ diet
Weight reduction to achieve desirable body weight
However, avoid severe fasting, VLCD, & weight cycling
______ physical activity

Answer 15

SFA
fiber
high fiber
plant-based
Increase

Question 16

Cholecystitis

Answer 16

inflammation of the bladder

Question 17

choledocholithiasis

Answer 17

bile back up

Question 18

cholecystitis can be caused from ?

Answer 18

choledocholitiasis - bile back up
cholestasis
impaires gallbladder emptying

Question 19

Symptoms of cholecystitis

Answer 19

RUG pain
N/V

• eating foods high in _____ may aggravate symptoms

Question 20

treatment of cholecystitis

Answer 20

cholectectomy

Question 21

After cholecystectomy=> advance to a _______ including sources of________ as tolerated

Note – some patients may experience symptoms of gastritis secondary to duodenogastric reflux of bile acids post-op

Answer 21

Regular diet

Question 22

MNT for chronic cholecystitis

Answer 22

long term low fat diet 25-30% and low in SFA

MAY NEED TO RESTRIST FOOD that cause gas