Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Bile01:19

Bile

Bile is a crucial bodily fluid, characterized by its yellow-green color and alkaline nature. Produced in the liver, it is transported through the common hepatic duct into either the cystic duct, leading to the gallbladder, or directly into the common bile duct. The flow of bile is regulated by the sphincter of Oddi located at the entrance of the duodenum. When this sphincter is closed, bile is redirected to the gallbladder for storage and concentration.
Bile is released when dietary fats enter...
Hepatic Drug Excretion: Influencing Factors01:16

Hepatic Drug Excretion: Influencing Factors

The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
Liver Physiology01:30

Liver Physiology

The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of  70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can also...
Hepatic Drug Excretion: Enterohepatic Cycling01:17

Hepatic Drug Excretion: Enterohepatic Cycling

Enterohepatic cycling involves the active secretion of drugs and their metabolites into the bile via transporters in the canalicular membrane of hepatocytes. This secretion is an integral part of the digestive process, releasing these substances into the gastrointestinal (GI) tract.
Post-release drugs and metabolites can be reabsorbed into the body from the intestine. For conjugated metabolites like glucuronides, reabsorption requires enzymatic hydrolysis by intestinal microflora. This...
Drug Biotransformation: Overview01:16

Drug Biotransformation: Overview

Pharmaceutical substances known as xenobiotics are predominantly lipophilic and nonionized. This enables them to permeate lipid bilayers, such as cell membranes, and interact with intracellular target receptors. Lipophilic drugs have an advantage in crossing biological barriers and reaching their intended sites of action. However, lipophilic drugs often have a restricted capacity for renal expulsion or elimination from the body. When these drugs enter the kidneys and undergo glomerular...
Drug Biotransformation: Overview01:28

Drug Biotransformation: Overview

Biotransformation, also known as drug metabolism, is a vital physiological process that chemically alters drugs, facilitating their elimination from the body and terminating their action. This process involves two main phases: phase I and phase II reactions. Phase I reactions, including oxidation, reduction, and hydrolysis, introduce or unmask polar functional groups on the drug molecule, thereby increasing its water solubility. By enhancing water solubility, the drug becomes more hydrophilic...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Current status of advanced gastrointestinal endoscopy training fellowships in the United States.

Advances in medical education and practice·2013
Same author

Endoscopic removal of large common bile duct stones: time to arm the laser?

Digestive diseases and sciences·2012
Same author

Utility of the short double-balloon enteroscope to perform pancreaticobiliary interventions in patients with surgically altered anatomy in a US multicenter study.

Digestive diseases and sciences·2012
Same author

Small bowel cancers diagnosed by device-assisted enteroscopy at a U.S. referral center: a five-year experience.

Digestive diseases and sciences·2011
Same author

Management of bleeding GI tumors.

Gastrointestinal endoscopy·2010
Same author

Double-balloon enteroscopy in the elderly: safety, findings, and diagnostic and therapeutic success.

Gastrointestinal endoscopy·2010

Related Experiment Video

Updated: Jun 28, 2026

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
06:10

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

Published on: August 23, 2022

Lithogenesis and bile metabolism.

Stephanie Lambou-Gianoukos1, Stephen J Heller

  • 1Department of Medicine, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.

The Surgical Clinics of North America
|November 11, 2008
PubMed
Summary
This summary is machine-generated.

Gallstone disease, categorized by cholesterol, black, or brown pigment, presents diverse risk factors and formation mechanisms. Understanding these differences is key to managing this common health issue.

More Related Videos

Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport
08:42

Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport

Published on: November 27, 2016

Determining Bile Duct Density in the Mouse Liver
07:35

Determining Bile Duct Density in the Mouse Liver

Published on: April 30, 2019

Related Experiment Videos

Last Updated: Jun 28, 2026

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
06:10

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

Published on: August 23, 2022

Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport
08:42

Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport

Published on: November 27, 2016

Determining Bile Duct Density in the Mouse Liver
07:35

Determining Bile Duct Density in the Mouse Liver

Published on: April 30, 2019

Area of Science:

  • Gastroenterology
  • Hepatology
  • Epidemiology

Background:

  • Gallstone disease imposes a significant global financial and social burden, necessitating frequent medical consultations and hospitalizations.
  • Gallstones are classified by composition: cholesterol, black pigment, and brown pigment, each with distinct structural, epidemiological, and risk factor profiles.

Purpose of the Study:

  • To elucidate the formation mechanisms and associated risk factors for different types of gallstones.
  • To provide a comprehensive overview of gallstone disease classification and etiology.

Main Methods:

  • Review of existing literature on gallstone composition, formation, and risk factors.
  • Categorization of gallstones based on established scientific criteria.

Main Results:

  • Cholesterol gallstone formation is contingent upon cholesterol supersaturation, accelerated nucleation, or gallbladder hypomotility/bile stasis.
  • Risk factors for cholesterol stones include age, gender, genetics, obesity, rapid weight loss, and ileal disease.
  • Pigment stones result from bilirubin precipitation; black stones are linked to hemolytic states, cirrhosis, Gilbert syndrome, or cystic fibrosis, while brown stones are associated with infections.

Conclusions:

  • Gallstone disease is multifactorial, with distinct pathophysiological pathways for cholesterol and pigment stones.
  • Understanding the specific etiology of each gallstone type is crucial for effective prevention and treatment strategies.