What should I do if I have gallbladder polyps?
There are roughly the following cases of gallbladder stones that require surgery.
1, large polyps: larger than 10 mm.
2, symptomatic polyps: single or multiple gallbladder polyps, with obvious symptoms.
3. Progressively enlarging polyps: during the follow-up of physical examination, the polyps keep increasing progressively.
4. wide basal polyps: medical studies have shown that such polyps have a high probability of malignant transformation.
5. Suspected cancerous polyps: imaging suggests a rich blood supply, not excluding the possibility of malignant neoplasm.
6. Polyps with gallbladder stones: with gallbladder stones, the
7, observable polyps: the diameter of less than 5 mm, asymptomatic patients should be followed up at intervals of 3 – 5 months to check. Once the lesion increases or symptoms are obvious, surgery must also be performed.
Surgery: Laparoscopic cholecystectomy (minimally invasive surgery, commonly known as “eye surgery”) is the standard surgery for gallbladder polyp surgery!
What gallbladder stones require surgery? What should I do if I have gallbladder stones?
Gallbladder stones in the following cases require surgery.
1. Gallbladder stones with obvious clinical symptoms.
2. Asymptomatic simple gallbladder stones, but the following conditions occur.
① ceramic gallbladder (i.e.: highly thickened gallbladder wall, non-functional gallbladder) because of its gallbladder cancer incidence rate up to 25%.
②Gallbladder stones more than 2 cm, because the incidence of gallbladder cancer is significantly higher in patients with gallbladder stones larger than 2 cm.
(3) Asymptomatic gallbladder stones combined with gallbladder polyps.
3. Patients with diabetes combined with gallbladder stones.
4.Chronic cholecystitis with acute attack of stones, after 2~4 weeks of remission of symptoms and signs by treatment, active surgery.
5, chronic cholecystitis and acute attack of stones, after treatment symptoms and signs do not relieve, the gallbladder wall is prone to necrosis, and even gallbladder perforation to form peritonitis, should be operated as soon as possible, more than 24 hours should not be laparoscopic surgery.
6, biliary pancreatitis: that is, pancreatitis caused by bile duct stones.
Unlike urinary stones, gallbladder and biliary tract stones are generally not treated by de-stoning, otherwise they may easily become embedded and lead to acute gallstone attack and emergency surgery.