Childen's Hospital Boston 300 Longwood Avenue
Boston, MA 02115
(617) 355-6000
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My Child Has:
Liver: How it Works
Programs that treat this condition
Center for Childhood Liver Disease   Liver Transplant Program  
Intestine and Multivisceral Transplant Program  
Anatomy of the liver:
The liver is located in the upper right-hand portion of the abdominal cavity, beneath the diaphragm and on top of the stomach, right kidney, and intestines. The liver, a dark reddish-brown organ that weighs about three pounds, has multiple functions.
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There are two distinct sources that supply blood to the liver:
  • Oxygenated blood flows in from the hepatic artery.
  • Nutrient-rich blood flows in from the hepatic portal vein.
The liver holds about 13 percent of the body's blood supply at any given moment.

The liver consists of two main lobes, both of which are made up of thousands of lobules. These lobules are connected to small ducts that connect with larger ducts to ultimately form the hepatic duct. The hepatic duct transports bile produced by the liver cells to the gallbladder and duodenum (the first part of the small intestine).

What are the functions of the liver?
The liver regulates most chemical levels in the blood and excretes a product called "bile," which helps to break down fats, preparing them for further digestion and absorption. All of the blood leaving the stomach and intestines passes through the liver. The liver processes this blood and breaks down the nutrients and drugs in the blood into forms that are easier to use for the rest of the body. More than 500 vital functions have been identified with the liver. Some of the more well-known functions include the following:
  • production of bile, which helps to break down fats in the small intestine during digestion
  • production of certain proteins for blood plasma
  • production of cholesterol and special proteins to help carry fats through the body
  • conversion of excess glucose into glycogen for storage (This glycogen can later be converted back to glucose for energy.)
  • regulation of blood levels of amino acids, which form the building blocks of proteins
  • processing of hemoglobin for use of its iron content (The liver stores iron.)
  • conversion of poisonous ammonia to urea (Urea is one of the end products of protein metabolism that is excreted in the urine.)
  • clearing the blood of drugs and other poisonous substances
  • regulating blood clotting
  • resisting infections by producing immune factors and removing bacteria from the bloodstream
When the liver has broken down harmful substances, they are excreted into the bile or blood. Bile by-products enter the intestine and ultimately leave the body in the feces. Blood by-products are filtered out by the kidneys and leave the body in the form of urine.
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