Do asymptomatic gallbladder polyps always require surgery?

       Clinical observations show that gallbladder polyps occur mostly in people aged 25-55 years, with a higher incidence in men than in women. The causes of gallbladder polyps are a combination of factors, among which high fat, high protein diet and irregular diet are common causes. The incidence of gallbladder polyps is gradually increasing due to the diversification of people’s dietary structure and lifestyle habits. Most of them have no obvious symptoms, a small number of patients with gallbladder polyps will have epigastric discomfort, acid reflux belching, loss of appetite and other indigestion-like performance, so often mistakenly think they have “chronic gastritis”, eat some gastric medicine to deal with the past, but often the effect is not good.  As people become more health conscious, ultrasound physical examination is popularly used, and the detection rate of gallbladder polyps has increased significantly. When you see the diagnosis of “gallbladder polyp” written in the physical examination report, there are often patients feel puzzled: “My body has no abnormal ah, need to care about it?” Some patients are worried about cancer and want to have their gallbladder removed as soon as possible. Clinical research shows that the majority of polyps “lurking” inside the gallbladder are benign and do not need to be removed urgently, especially asymptomatic gallbladder polyps, most of which are benign, and only a few single tumor polyps have the possibility of malignant transformation. There are indications as to whether gallbladder polyps require surgical treatment. It is generally believed that for gallbladder polyps with frequent epigastric fullness and discomfort, abdominal pain and other obvious symptoms, it is recommended to consider laparoscopic surgery to remove the gallbladder after excluding mental factors, gastroduodenal and other biliary tract diseases.  For asymptomatic gallbladder polyps, surgery should also be considered in general when the polyps are more than 1 cm in diameter, adenomatous polyps with persistent enlargement and wide base found by regular ultrasound examination, and when the age is above 50 years old, in order to prevent the polyps from progressing or becoming malignant. If there are no several cases above, belong to the more stable gallbladder polyps, you can not need to rush surgery, every 3-6 months to do ultrasound to observe the polyp changes. Since the main physiological function of gallbladder is to store and concentrate bile and participate in the process of digestion and absorption of food. If the normal functioning gallbladder is blindly and aggressively removed, a small number of people may experience indigestion manifestations such as abdominal distension and diarrhea. However, for gallbladder polyps have reached the standard of surgical treatment, you should also weigh the pros and cons at this time, and choose surgery decisively when it is time to operate.  Does the removal of gallbladder affect the body? Removal of the diseased gallbladder generally has no significant effect on the body’s function, because after removal of the gallbladder, bile is drained directly into the intestine to participate in digestive functions, while the body’s whole body and the local biliary system can also adapt to the environment without the gallbladder through compensation. Most of the current cholecystectomies are done laparoscopically, which is less traumatic and has faster postoperative recovery. After removal of the gallbladder, individual patients may experience abdominal distension and discomfort, diarrhea, etc., but most of them are temporary and usually recover completely and eat normally 1-3 months after surgery. Only in rare cases do symptoms persist and require active diagnosis and treatment.  How to prevent the occurrence of gallbladder polyps clinically? In daily life, it is necessary to match the diet reasonably and avoid long-term excessive intake of high-fat and high-protein foods; three meals should be regular, not “hungry in the morning, busy at midnight to add meals”; at the same time, it is also necessary to maintain a relaxed mood and avoid adverse emotional stimulation.