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liver

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The liver is a solid gastrointestinal organ weighing around 1.5 kgs, situated in the right upper quadrant of the abdomen largely under the rib cage. So,  normal liver is not palpable. It is reddish-brown in colour and feels rubbery to touch

  • The liver has right and left lobes. Gallbladder is situated under the liver

  • Unlike other organs, liver has dual blood supply (Portal vein & Hepatic artery)

  • Liver blood flow represents about 25% of the cardiac output 

  • Liver blood flow is decreased during exercise and increased after ingestion of food

  • Liver filters the portal blood coming from the digestive tract before reaching the heart and rest of the body

  • The liver is the only visceral organ that can regenerate

Major functions of the liver 

  • Bile production and excretion - helps in digestion and absorption of fats & fat soluble vitamins (A,D,E & K)

  • Excretion of bilirubin, cholesterol, hormones, and drugs

  • Metabolism of fats, proteins, and carbohydrates

  • Storage of glycogen, vitamins (A,D,E,K & B12), and minerals (iron,copper)

  • Synthesis of plasma proteins, such as albumin, and clotting factors (2,7,9 &10)

  • Blood detoxification and purification

What are the common liver disorders?

  • Hepatitis

  • Liver abscess

  • Hydatid cyst

  • Chronic liver disease (CLD) & Portal Hypertension

  • Simple & Complex liver cysts

  • Fatty liver

  • Liver Cirrhosis 

  • Tumors

    • Benign - Hemangioma, adenoma, FNH etc

    • Malignant - Liver Cancer (Hepato cellular carcinoma), intra hepatic cholangiocarcinoma etc

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What are the symptoms of liver disorders?

  • Pain in right upper abdomen

  • Lump in right upper abdomen

  • Fever

  • Jaundice

  • Ascites ( fluid in the abdomen)

  • Hemetemesis (Vomiting of blood) etc.

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What are the commonly done liver tests?

  • LFT ( Bilirubin, albumin, AST, ALT, ALP, GGT), PT/INR

  • Tumor markers- AFP, CA 19.9 etc.

  • Imaging -

    • Ultrasonography

    • CT scan

    • MRI

    • PET scan etc. 

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What are the commonly done liver procedures/surgeries?

  • Liver abscess drainage

    • Image guided percutaneous drainage

    • Surgical drainage ( laparoscopic / Open)

  • Hydatid Cyst procedures

    • PAIR

    • Surgery (Lap/open) - Deroofing, cyst excision, hepatectomy

  • Surgery for liver tumors​ (Hepatectomy- Lap/open)

    • Right or Left hepatectomy

    • Segmentectomy etc.

  • Liver Transplantation- for chronic liver disease & liver tumors

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Discussion 

Clinic Address: Mysore

Impulse Medical Center, Near Vidyashrama College, Temple Road, Mysore-570012 

Clinic Address: Mandya

Sattva Health Care, Behind TVS show room, 100 feet Raod, Mandya -571401 

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