About Ambulatory Surgery Center Tampa. Ambulatory Surgery Center Tampa is a state-of-the-art ambulatory surgery center where surgeons perform a broad range of outpatient procedures. Specialties include Gastroenterology, General Surgery, Gynecology, Ophthalmology, Orthopedics, Otorhinolaryngology (ENT), Pain Management, Plastic Surgery, Podiatry and Urology.
Bilirubin is an orange-yellow pigment, a waste product primarily produced by the normal breakdown of heme. Heme is a component of hemoglobin, which is found in red blood cells (RBCs). Bilirubin is ultimately processed by the liver to allow its elimination from the body.Any condition that accelerates the breakdown of RBCs or affects the processing and elimination of bilirubin may cause an elevated blood level. Unconjugated bilirubin âwhen heme is released from hemoglobin, it is converted to unconjugated bilirubin. 2  It is carried by proteins to the liver. 3  Small amounts may be present in the blood. 4  Conjugated bilirubin âformed in the liver when sugars are attached (conjugated) to bilirubin.
The free, or unconjugated, bilirubin is carried by albumin to the liver, where it is converted or conjugated and made water soluble. Once it is conjugated into a water-soluble form, bilirubin can be excreted in the urine. An enzyme, glucuronyl transferase, is necessary for the conjugation of bilirubin.Either a lack of this enzyme, or the presence of drugs that interfere with glucuronyl transferase, impairs the liver's ability to conjugate bilirubin.ilirubin. Bilirubin is the main bile pigment that is formed from the breakdown of heme in red blood cells. The broken down heme travels to the liver, where it is secreted into the bile by the liver. Normally, a small amount of bilirubin circulates in the blood.