Symptoms and treatment of gallbladder polyps

Most of the patients with gallbladder polyps have no clinical symptoms, and a small number of patients can have pain in the right upper abdomen, nausea, vomiting, and loss of appetite. A very few patients can develop obstructive jaundice, cholecystitis, gallbladder hemorrhage, and can even induce pancreatitis. On examination, there may be slight pressure pain in the right upper abdomen. For patients with gallbladder polyps, most of them can be given regular ultrasound follow-up observation. If there is a single lesion with a diameter of more than 1cm and a wide base, the polyp increases rapidly in a short period of time, combined with gallbladder stones or thickening of the wall of the gallbladder, especially if the patient is older than 50 years old, timely surgical treatment should be considered. Surgery is usually laparoscopic cholecystectomy. For patients with high suspicion of malignancy, intraoperative rapid pathologic examination is also required, and the final surgical method will be decided according to the results of rapid pathology. In the case of gallbladder cancer, radical resection, lymph node dissection and wedge resection of the liver if necessary are also required.