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Liver

The liver is a major metabolic organ only found in vertebrate animals, which performs many essential biological functions such as detoxification of the organism, and the synthesis of proteins and biochemicals necessary for digestion and growth.[2][3][4] In humans, it is located in the right upper quadrant of the abdomen, below the diaphragm and mostly shielded by the lower right rib cage. Its other metabolic roles include carbohydrate metabolism, the production of hormones, conversion and storage of nutrients such as glucose and glycogen, and the decomposition of red blood cells.[4]

This article is about the organ. For other uses, see Liver (disambiguation).

The liver is also an accessory digestive organ that produces bile, an alkaline fluid containing cholesterol and bile acids, which emulsifies and aids the breakdown of dietary fat. The gallbladder, a small hollow pouch that sits just under the right lobe of liver, stores and concentrates the bile produced by the liver, which is later excreted to the duodenum to help with digestion.[5] The liver's highly specialized tissue, consisting mostly of hepatocytes, regulates a wide variety of high-volume biochemical reactions, including the synthesis and breakdown of small and complex organic molecules, many of which are necessary for normal vital functions.[6] Estimates regarding the organ's total number of functions vary, but is generally cited as being around 500.[7]


It is not known how to compensate for the absence of liver function in the long term, although liver dialysis techniques can be used in the short term. Artificial livers have not been developed to promote long-term replacement in the absence of the liver. As of 2018,[8] liver transplantation is the only option for complete liver failure.

Microscopic anatomy of the liver

Microscopic anatomy of the liver

Types of capillaries–sinusoid on right

Types of capillaries–sinusoid on right

3D medical animation still shot depicting parts of liver

3D Medical Animation Still Shot Depicting parts of liver

The liver synthesizes and stores around 100g of glycogen via , the formation of glycogen from glucose.

glycogenesis

When needed, the liver releases glucose into the blood by performing , the breakdown of glycogen into glucose.[46]

glycogenolysis

The liver is also responsible for , which is the synthesis of glucose from certain amino acids, lactate, or glycerol. Adipose and liver cells produce glycerol by breakdown of fat, which the liver uses for gluconeogenesis.[46]

gluconeogenesis

Liver also does glyconeogenesis which is synthesis of glycogen from .[47]

lactic acid

Pale stools occur when , a brown pigment, is absent from the stool. Stercobilin is derived from bilirubin metabolites produced in the liver.

stercobilin

Dark urine occurs when bilirubin mixes with urine

(yellow skin and/or whites of the eyes) This is where bilirubin deposits in skin, causing an intense itch. Itching is the most common complaint by people who have liver failure. Often this itch cannot be relieved by drugs.

Jaundice

and swelling of the ankles and feet occurs because the liver fails to make albumin.

Swelling of the abdomen

Excessive fatigue occurs from a , minerals and vitamins.

generalized loss of nutrients

and easy bleeding are other features of liver disease. The liver makes clotting factors, substances which help prevent bleeding. When liver damage occurs, these factors are no longer present and severe bleeding can occur.[68]

Bruising

Pain in the upper right quadrant can result from the stretching of Glisson's capsule in conditions of and pre-eclampsia.

hepatitis

Porphyria

(published Is the liver a purifying organ in 1798)

Johann Joseph Dömling

Dorland's illustrated medical dictionary (32nd ed.). Philadelphia, PA: Elsevier / Saunders. 2012.  978-1-4557-0985-4.

ISBN

Young, Barbara; O'Dowd, Geraldine; Woodford, Phillip (4 November 2013). Wheater's Functional Histology: A text and colour atlas (6th ed.). Philadelphia, PA: Elsevier.  978-0-7020-4747-3.

ISBN

Liver at the Human Protein Atlas

VIRTUAL Liver – online learning resource

Liver enzymes

. Encyclopædia Britannica. Vol. 16 (11th ed.). 1911. pp. 801–803. with several diagrams.

"Liver" 

Rizi, Farid (14 January 2022). . Radiopaedia.org. doi:10.53347/rID-96561.

"Beaver tail liver"