00:00
Next up. Let's look at
pancreatic gallstones.
00:04
Now, we're going
to evaluate lab for
labs that are specific
to the pancreas.
00:09
So does this make sense?
We're going to look for
elevated amylase and lipase
and elevated liver enzymes.
00:17
Now why is that?
We'll look at our picture,
if we have pancreatic
gallstones.
00:22
Look at the pancreas
see the stone there,
if the stone is there we're
going to have backup problems
in the pancreas,
amylase and lipase,
and back up to the liver.
00:33
And that's why you'll have
the elevated liver enzymes.
00:36
See, all the work that you've
done getting to this point
is now starting to pay off.
00:43
Now with this
pancreatic gallstones.
00:45
We just want to focus in again
on that sphincter of oddi
in the ampulla of vater.
00:50
Now, the ampulla of vater is
just a little protrusion that
of the hepatobiliary system
when it intersects right
into the small intestine.
00:58
The sphincter of oddi
is the muscle that
can open and close
and helps release
or stop the release of bile
into the small intestine.