Download Clinical Hepatology: Principles and Practice of by Henryk Dancygier PDF

By Henryk Dancygier

ISBN-10: 3540938419

ISBN-13: 9783540938415

Clinical Hepatology – rules and perform of Hepatobiliary ailments presents transparent and accomplished insurance of the etiology, mechanisms of disorder, prognosis, and functional administration of the complete spectrum of liver and biliary issues. It additionally provides an exceptional, evidence-based overview of the speedily increasing box of hepatobiliary diseases.

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

Example text

Of all the vessels contained within the portal tract, the portal vein has the widest lumen and thinnest wall with little smooth muscle. The smallest portal vein branches in the portal tracts are called terminal portal venules or perilobular veins. These small vessels lack smooth muscle fibers and discharge their blood into the periportal sinusoids. The branches of the hepatic artery run in close proximity to those of the portal vein, occasionally winding spirally around the latter. In histologic sections this can give the impression that a portal vein branch is surrounded by several separate hepatic arterial branches.

The liver plates are mostly one cell thick, surrounded by sinusoids, and converge toward the central vein approximately 24 hepatocytes are found between the portal tract and the central vein. Immediately abutting on the portal tract is a continuous concentric layer of hepatocytes, disrupted only by short links between the portal vessels and the sinusoids. This circumferential cellular layer represents the limiting plate (interface) between the lobular parenchyma and the portal tract. The liver cell plates are separated by vascular channels, the sinusoids, which converge toward the central vein.

SEC express fibronectin, hyaluronic acid, mannose and scavenger receptors, and the CD4 molecule on their surface. By clearing constituents of the extracellular matrix, such as degradation products of collagen, glycosaminoglycans, chondroitin sulfate, heparin and dermatan sulfate, they play a role in the metabolism of the extracellular matrix. Increased serum concentrations of extracellular matrix components in chronic liver diseases are therefore not necessarily due to increased synthesis of these components but can be caused by their diminished endothelial clearance.

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


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