Gallbladder polyps and their treatment

  Now we have increased health awareness, physical examination found gallbladder polyps, feel more than others to grow a polyp do not know whether it is good or bad, not afraid of nervous. Gallbladder polyp is a common disease, neither too worried, nor careless, the following give you a detailed introduction.  How do you get gallbladder polyps?  In recent years, the detection rate of gallbladder polyps has increased, and has become a common condition. The reason for this is due to the increase in the popularity of medical checkups on the one hand, on the other hand, it may be related to the change in the Chinese diet structure and diet rules and living environment and other unknown factors, including high-fat diet, high cholesterol diet, irregular diet, etc.  Gallbladder polyps are usually asymptomatic Gallbladder polyps are usually mildly symptomatic or even asymptomatic, and most of them are detected by imaging. Only a few patients have upper abdominal discomfort similar to the symptoms of cholecystitis, polyps located in the neck of the gallbladder can appear biliary colic, in the combination of stones can be biliary colic attacks and acute and chronic inflammatory episodes of performance.  Gallbladder polyps are also good or bad Gallbladder polyps or polypoid lesions is a general term, generally speaking, the ultrasound report describes “polypoid lesions of the gallbladder”, the so-called “polypoid”, that is, like a polyp, but not necessarily a polyp. This is the term used in the context of imaging. Pathological examination is the gold standard for whether gallbladder polyps are good or bad, but the imaging features can be used to determine the benignity or malignancy in general.  Do I need to deal with it?  Usually gallbladder polyps have no symptoms, and it may have been in the stomach for a long time before ultrasound examination. As long as they are not malignant or combined with gallbladder stones or cholecystitis, they usually do not need active treatment, as long as they are observed. When gallbladder polyps are accompanied by stones, they will not only complicate cholecystitis, but also increase the probability of gallbladder polyps becoming cancerous, so it is recommended to remove them.  From clinical experience, the “bad” polyps have the following characteristics: wide base, no tip, single, more than 1 cm, increase in size within a short period of time or gradually, appear after the age of 50, combined with gallbladder stones or cholecystitis. These cases of gallbladder polyps are prone to “problems” and have a high risk of becoming gallbladder cancer. If these characteristics are described above, it is recommended that the gallbladder be surgically removed to eliminate future problems.  Characteristics of benign polyps: If the polyps are small (less than 1cm), with multiple, narrow base, and with a tip, they are relatively less likely to “go wrong”, as long as they are followed up every year, about once every six months with ultrasound, and then treated if there are changes in the situation.  The surgical treatment of gallbladder polyps has two considerations, on the one hand, to prevent cancer or cancer leakage, on the other hand, for the symptoms, if the uncomfortable symptoms are not relieved by medication, combined with chronic cholecystitis affect normal work and life, you can consider gallbladder removal.  Drugs are not effective for true gallbladder polyps. For multiple cholesterol polyps, some antibiotics may somewhat relieve the symptoms of combined chronic cholecystitis, and may have some effect for some cholesterol crystals less than 5mm or to prevent new occurrence.  To summarize: short time growing rapidly; larger than 1 cm; solitary; broad-based; gallbladder polyps; with local or whole gallbladder wall thickening; combined with gallbladder stones chronic cholecystitis; ultrasound, CT and MRI do not exclude the possibility of cancer, surgery is usually recommended.  The effect of gallbladder removal on health The current level of medical science does not believe that removal of the gallbladder will have a major impact on the body: the gallbladder is the organ that stores bile, not the organ that produces it. Some people experience mild diarrhea and bloating for a short period of time after surgery, which tends to occur after eating large amounts of greasy, high-fat foods. This phenomenon can gradually compensate for the missing gallbladder function through liver secretion and dilation of the common bile duct, and most diarrhea and bloating can diminish or disappear a few months after surgery. There is no clear evidence from evidence-based medicine that gallbladder removal can cause other diseases in the body. People who should have their gallbladder removed should not worry about how much impact it will have on their body, but if some polyps are not removed and left to develop in the stomach, it would be terrible, and should be analyzed rationally in the context of the disease.