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Bile follows the path of least resistance. For example, in the case of liver laceration repair with a Jackson-Pratt drain placed intra-abdominally, if bile is found in the Jackson-Pratt drain post-operatively, then one can assume that the bile ducts must be obstructed distally.

An endoscopic retrograde cholangiopancreatography should be performed with stent placement and sphincterotomy of the sphincter of Oddi. This will allow bile to follow the path of least resistance down the bile ducts and into the duodenum, as opposed to into the peritoneal cavity and the Jackson-Pratt drain.

In the absence of bile, fats become indigestible and are instead excreted in feces , a condition called steatorrhea. Feces lack their characteristic brown color and instead are white or gray, and greasy.

The cholesterol contained in bile will occasionally accrete into lumps in the gallbladder, forming gallstones. Cholesterol gallstones are generally treated through surgical removal of the gallbladder.

However, they can sometimes be dissolved by increasing the concentration of certain naturally occurring bile acids, such as chenodeoxycholic acid and ursodeoxycholic acid.

On an empty stomach — after repeated vomiting , for example — a person's vomit may be green or dark yellow, and very bitter. The bitter and greenish component may be bile or normal digestive juices originating in the stomach.

This is known as biliary reflux. Biliary obstruction refers to a condition when bile ducts which deliver bile from the gallbladder or liver to the duodenum become obstructed.

The blockage of bile might cause a buildup of bilirubin in the bloodstream which can result in jaundice. There are several potential causes for biliary obstruction including gallstones , cancer, [19] trauma, choledochal cysts , or other benign causes of bile duct narrowing.

A blockage of the gallbladder or cystic duct may cause cholecystitis. If the blockage is beyond the confluence of the pancreatic duct, this may cause gallstone pancreatitis.

In some instances of biliary obstruction, the bile may become infected by bacteria resulting in ascending cholangitis.

In medical theories prevalent in the West from Classical Antiquity to the Middle Ages , the body's health depended on the equilibrium of four "humors" , or vital fluids, two of which related to bile: blood, phlegm , "yellow bile" choler , and "black bile".

These "humors" are believed to have their roots in the appearance of a blood sedimentation test made in open air, which exhibits a dark clot at the bottom "black bile" , a layer of unclotted erythrocytes "blood" , a layer of white blood cells "phlegm" and a layer of clear yellow serum "yellow bile".

Soap can be mixed with bile from mammals, such as ox gall. This mixture, called bile soap [23] or gall soap, can be applied to textiles a few hours before washing as a traditional and effective method for removing various kinds of tough stains.

In regions where bile products are a popular ingredient in traditional medicine , the use of bears in bile-farming has been widespread.

This practice has been condemned by activists, and some pharmaceutical companies have developed synthetic non-ursine alternatives.

From Wikipedia, the free encyclopedia. This article is about the fluid produced by the liver. For other uses, see Bile disambiguation. Dark greenish-brown fluid that aids digestion of fats.

Chenodeoxycholic acid. Glycocholic acid. Taurocholic acid. Deoxycholic acid. Lithocholic acid. Medicine portal Animals portal.

Ganong's review of medical physiology 24th ed. Textbook of Medical Physiology. Retrieved Royal Society of Chemistry. Journal of Lipid Research.

Biology: Concepts and Applications. Cengage Learning. June Journal of Medical Microbiology. World Journal of Gastroenterology. Elsevier Health Sciences.

World Journal of Gastrointestinal Oncology. American Journal of Roentgenology. Research that reveals a better understanding of neurological systems, and the diseases that affect them, could translate into cures that improve millions of lives.

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