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http://dx.doi.org/10.12701/yujm.2020.00213

Gallbladder polyps: evolving approach to the diagnosis and management  

Kim, Kook Hyun (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine)
Publication Information
Journal of Yeungnam Medical Science / v.38, no.1, 2021 , pp. 1-9 More about this Journal
Abstract
Gallbladder (GB) polyp is a mucosal projection into the GB lumen. With increasing health awareness, GB polyps are frequently found using ultrasonography during health screening. The prevalence of GB polyps ranges between 1.3% and 9.5%. Most patients are asymptomatic and have benign characteristics. Of the nonneoplastic polyps, cholesterol polyps are most common, accounting for 60%-70% of lesions. However, a few polyps have malignant potential. Currently, the guidelines recommend laparoscopic cholecystectomy for polyps larger than 1 cm in diameter due to their malignant potential. The treatment algorithm can be influenced by the size, shape, and numbers of polyps, old age (>50 years), the presence of primary sclerosing cholangitis, and gallstones. This review summarizes the commonly recognized concepts on GB polyps from diagnosis to an algorithm of treatment.
Keywords
Cholecystectomy; Diagnostic imaging; Gallbladder diseases; Gallbladder neoplasms; Polyps;
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