Management of Gallbladder Polyps: A Tertiary Center Experience

Objective & Hypothesis:Objective: The main purpose of the management of gallbladder polyps is to establish an early diagnosis and toprevent the development of gallbladder cancer.Methods: Fifty-six patients who underwent cholecystectomy with the diagnosis of gallbladder polyp betweenJanuary 2012 and September 2018, were retrospectively evaluated.Results: Twenty-one patients (39.3%) were female and 34 (60.7%) were male.

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Key Findings & Data:The indications for cholecystectomywere ≥ 10 mm polyps in (n=22, 39.3%), increase in polyp size during follow-up (n=8, 14.3%), symptomatic polypssmaller than 10 mm (n=24, 42.9%), polyps smaller than 10 mm with concomitant risk factors (n=2, 3.6%).Histopathological examination of gallbladders revealed the presence of cholesterol polyps in 51 (91.1%), inflammatory polyps in 1 (1.8%), and adenoma in 1 (1.8%) patient.

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Conclusion & Impact:The characteristics of symptomsand their response to cholecystectomy should be evaluated in symptomatic cases.

🔬Design:Research Article

📍Scope:2012 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: The main purpose of the management of gallbladder polyps is to establish an early diagnosis and toprevent the development of gallbladder cancer.Methods: Fifty-six patients who underwent cholecystectomy with the diagnosis of gallbladder polyp betweenJanuary 2012 and September 2018, were retrospectively evaluated.Results: Twenty-one patients (39.3%) were female and 34 (60.7%) were male. The indications for cholecystectomywere ≥ 10 mm polyps in (n=22, 39.3%), increase in polyp size during follow-up (n=8, 14.3%), symptomatic polypssmaller than 10 mm (n=24, 42.9%), polyps smaller than 10 mm with concomitant risk factors (n=2, 3.6%).Histopathological examination of gallbladders revealed the presence of cholesterol polyps in 51 (91.1%), inflammatory polyps in 1 (1.8%), and adenoma in 1 (1.8%) patient. Three patients (5.4%) had no polyps and only gallstoneswere detected. Malignancy was not detected in any patient.Conclusion: The management of gallbladder polyps is still a controversial issue. The recommendations publishedin guidelines, can be used as a guide in the management of gallbladder polyps. The characteristics of symptomsand their response to cholecystectomy should be evaluated in symptomatic cases.

Özet

Amaç: Safra kesesi poliplerinin yönetiminde temel amaç safra kesesi kanseri gelişiminin önüne geçmek ya da erken tanı koymaktır. Yöntem: Ocak 2012 - Eylül 2018 tarihleri arasında safra kesesi polibi tanısıyla kolesistektomi uygulanan 56 hasta retrospektif olarak değerlendirildi. Bulgular: Hastaların 22’si erkek (%39,3), 34’ü kadındı (%60,7). Hastaların 22’si (%39,3) 10 mm ve üzeri polip boyutu, 8’i (%14,3) takipte boyut artışı, 24’ü (%42,9) 10 mm’den küçük polip boyutu ancak semptomatik, 2’si (%3,6) 10 mm’den küçük ancak beraberinde risk faktörleri olması endikasyonları ile opere edildi. Elli bir hastada (%91,1) kolesterol polibi, 1 hastada (%1,8) inflamatuvar polip, 1 hastada (%1,8) adenom saptandı. Hastalardan 3’ünde (%5,4) safra kesesi histopatolojik incelemesinde polibe rastlanmamış olup, yalnızca taş saptanmıştır. Hiçbir hastada malignite saptanmamıştır. Sonuç: Safra kesesi poliplerinin tedavi ve yönetimi halen tartışmalı bir konudur. Yayınlanan kılavuzlardaki öneriler, safra kesesi polip yönetiminde rehber olarak kullanılabilir. Semptomatik olgularda semptomlarn karakteristiği ve kolesistektomiye yanıtı iyi değerlendirilmelidir

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Cite This Article

KARACA, A. C., AYDIN, C., ÜSTÜN, M. (2022). Management of Gallbladder Polyps: A Tertiary Center Experience. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 29 - Sayı: 2, 129–133. https://ajindex.com/articles/558104

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