Recent Updates on Management and Follow-up of Gallbladder Polyps
Gallbladder polyps are a common incidental finding. Although most of these are benign, differentiating non-neoplastic from neoplastic polyps is challenging. Trans-abdominal ultrasound is the primary imaging study for diagnosing and monitoring gallbladder polyps. In challenging cases, the use of endo...
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| Format: | Article |
| Language: | English |
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Jin Publishing & Printing Co.
2023-05-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | https://www.kjg.or.kr/journal/view.html?uid=5915&vmd=Full |
| _version_ | 1797263509491286016 |
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| author | Jun Hyuk Son |
| author_facet | Jun Hyuk Son |
| author_sort | Jun Hyuk Son |
| collection | DOAJ |
| description | Gallbladder polyps are a common incidental finding. Although most of these are benign, differentiating non-neoplastic from neoplastic polyps is challenging. Trans-abdominal ultrasound is the primary imaging study for diagnosing and monitoring gallbladder polyps. In challenging cases, the use of endoscopic ultrasound or contrast-enhanced endoscopic ultrasound could assist in making decisions. According to current guidelines, a cholecystectomy is recommended in patients with polyps measuring 10 mm or larger and in symptomatic patients with polyps measuring less than 10 mm. A cholecystectomy is also recommended if one or more risk factors for malignancy are present in patients with polyps measuring 6-9 mm. These risk factors include age older than 60 years, primary sclerosing cholangitis, Asian ethnicity, and sessile polyps, including focal gallbladder wall thickening >4 mm. Follow-up ultrasound is recommended at six months, one year, and two years for polyps measuring 6-9 mm in patients without risk factors for malignancy, and for polyps less than 5 mm in patients with one or more risk factors for malignancy. Discontinuing the surveillance could be considered in the absence of growth. Follow-up is not required for polyps measuring less than 5 mm in patients without the risk factors for a malignancy. On the other hand, the evidence for the guidelines is still lacking and of low quality. The management of gallbladder polyps should be individualized based on the currently available guidelines. |
| first_indexed | 2024-04-25T00:14:08Z |
| format | Article |
| id | doaj.art-0fc4bb95de0546f5b27fc25a329cd298 |
| institution | Directory Open Access Journal |
| issn | 1598-9992 2233-6869 |
| language | English |
| last_indexed | 2024-04-25T00:14:08Z |
| publishDate | 2023-05-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-0fc4bb95de0546f5b27fc25a329cd2982024-03-13T06:39:08ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692023-05-0181519720210.4166/kjg.2023.038Recent Updates on Management and Follow-up of Gallbladder PolypsJun Hyuk Son0https://orcid.org/0000-0003-3477-6985Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaGallbladder polyps are a common incidental finding. Although most of these are benign, differentiating non-neoplastic from neoplastic polyps is challenging. Trans-abdominal ultrasound is the primary imaging study for diagnosing and monitoring gallbladder polyps. In challenging cases, the use of endoscopic ultrasound or contrast-enhanced endoscopic ultrasound could assist in making decisions. According to current guidelines, a cholecystectomy is recommended in patients with polyps measuring 10 mm or larger and in symptomatic patients with polyps measuring less than 10 mm. A cholecystectomy is also recommended if one or more risk factors for malignancy are present in patients with polyps measuring 6-9 mm. These risk factors include age older than 60 years, primary sclerosing cholangitis, Asian ethnicity, and sessile polyps, including focal gallbladder wall thickening >4 mm. Follow-up ultrasound is recommended at six months, one year, and two years for polyps measuring 6-9 mm in patients without risk factors for malignancy, and for polyps less than 5 mm in patients with one or more risk factors for malignancy. Discontinuing the surveillance could be considered in the absence of growth. Follow-up is not required for polyps measuring less than 5 mm in patients without the risk factors for a malignancy. On the other hand, the evidence for the guidelines is still lacking and of low quality. The management of gallbladder polyps should be individualized based on the currently available guidelines.https://www.kjg.or.kr/journal/view.html?uid=5915&vmd=Fullgallbladderpolypsneoplasmscholecystectomy |
| spellingShingle | Jun Hyuk Son Recent Updates on Management and Follow-up of Gallbladder Polyps The Korean Journal of Gastroenterology gallbladder polyps neoplasms cholecystectomy |
| title | Recent Updates on Management and Follow-up of Gallbladder Polyps |
| title_full | Recent Updates on Management and Follow-up of Gallbladder Polyps |
| title_fullStr | Recent Updates on Management and Follow-up of Gallbladder Polyps |
| title_full_unstemmed | Recent Updates on Management and Follow-up of Gallbladder Polyps |
| title_short | Recent Updates on Management and Follow-up of Gallbladder Polyps |
| title_sort | recent updates on management and follow up of gallbladder polyps |
| topic | gallbladder polyps neoplasms cholecystectomy |
| url | https://www.kjg.or.kr/journal/view.html?uid=5915&vmd=Full |
| work_keys_str_mv | AT junhyukson recentupdatesonmanagementandfollowupofgallbladderpolyps |