In
medicine, cholestasis is a condition where
bile cannot flow from the
liver to the
duodenum. Bile formation is a secretory function of the liver. It begins in bile
canaliculi that form between two adjacent surfaces of liver cells (
hepatocytes) similar to the terminal branches of a tree. The canaliculi join each other to form larger and larger structures, sometimes referred to as Canals of Hering, which themselves join to form small bile ductules that have an epithelial surface. The ductules join to form
bile ducts that eventually form either the right main hepatic duct that drains the right lobe of the liver and the left main hepatic duct draining the left lobe of the liver. The two ducts join to form the
common hepatic duct, which in turn joins the
cystic duct from the
gall bladder, to give the
common bile duct. This duct then enters the duodenum at the
ampulla of Vater. The two basic distinctions are an obstructive type of cholestasis where there is a mechanical blockage in the duct system such as can occur from a
gallstone or
malignancy and metabolic types of cholestasis which are disturbances in bile formation that can occur because of
genetic defects or acquired as a side effect of many medications.
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Any condition in which the release of bile from the liver is blocked. The blockage can occur in the liver (intrahepatic cholestasis) or in the bile ducts (extrahepatic cholestasis).