Are Our Surgical Indications Accurate for Gallbladder Polyps?

Objective: The gallbladder polyp (GBP)s are mostly known as non-neoplastic lesions and have malignancy potential, which is an essential factor in the follow-up and treatment of the patient. This study aimed to evaluate the indications for surgery and compare the radiological and pathological findings of patients who were operated with the pre-diagnosis of GBP. Methods: The demographic and clinical data, histopathological features, interventions and complication rate of the patients who underwent surgery for GBP between January 2015 and June 2020 in our clinic were retrospectively evaluated in this study. Results: Cholecystectomy was performed in 93 patients with a diagnosis of GBP. Multiple GBPs were observed in 44 (47.3%) patients on radiological imaging, and the mean diameter of the polyps was 6 mm. Polyps were found in 33 (35.5%) of the 93 patients in histopathological examination. Cholesterolosis was detected in 29 (31.2%) of the patients, cholelithiasis in 22 (23.6%) patients, and no abnormality was found in 16 (17.2%) patients. While cholesterolosis and cholelithiasis were seen together in 11 (11.8%) patients, cholelithiasis and GBP were detected in only one patient. Conclusion: Clinical examination and imaging findings, such as the size, appearance and the number of polyps, have a critical role in the indication of surgery for patients with GBPs. The risk factors and the clinical findings of the patients should be considered together for an accurate surgery decision.

Kaynakça

1. McCain RS, Diamond A, Jones C, Coleman HG. Current practices and future prospects for the management of gallbladder polyps: A topical review. World J Gastroenterol 2018;24:2844–52.

2. Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, et al. Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34 669 cases. J Gastroenterol Hepatol 2008;23:965–9.

3. Andrén-Sandberg A. Diagnosis and management of gallbladder polyps. N Am J Med Sci 2012;4:203–11.

4. Wiles R, Thoeni RF, Barbu ST, Yogesh KV, Rafaelsen SR, Dewhurst C, et al. Management and follow-up of gallbladder polyps: Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE). Eur Radiol 2017;27:3856–66.

5. Bhatt NR, Gillis A, Smoothey CO, Awan FN, Ridgway PF. Evidence based management of polyps of the gall bladder: A systematic review of the risk factors of malignancy. Surgeon 2016;14:278–86.

6. Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, et al. Diagnosis and management of primary sclerosing cholangitis. Hepatology 2010;51:660–78.

7. Aldouri AQ, Malik HZ, Waytt J, Khan S, Ranganathan K, Kummaraganti S, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009;35:48–51.

8. Jones MW, Deppen JG. Gallbladder Polyp. In: StatPearls. Florida: StatPearls Publishing; 2020. Available at: https://www.ncbi.nlm.nih. gov/books/NBK470211/. Accessed Feb 15, 2021.

9. Andrén-Sandberg A. Diagnosis and management of gallbladder polyps. N Am J Med Sci 2012;4:203–11.

10. French DG, Allen PD, Ellsmere JC. The diagnostic accuracy of transabdominal ultrasonography needs to be considered when managing gallbladder polyps. Surg Endosc 2013;27:4021–5.

11. Babu BI, Dennison AR, Garcea G. Management and diagnosis of gallbladder polyps: a systematic review. Langenbecks Arch Surg 2015;400:455–62.

12. Kwon W, Jang JY, Lee SE, Hwang DW, Kim SW. Clinicopathologic features of polypoid lesions of the gallbladder and risk factors of gallbladder cancer. J Korean Med Sci 2009;24:481–7.

13. Park JK, Yoon YB, Kim YT, Ryu JK, Yoon WJ, Lee SH, et al. Management strategies for gallbladder polyps: is it possible to predict malignant gallbladder polyps? Gut Liver 2008;2:88–94.

14. Aldouri AQ, Malik HZ, Waytt J, Khan S, Ranganathan K, Kummaraganti S, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009;35:48–51.

15. European Association for the Study of the Liver. EASL Clinical Practice Guidelines: management of cholestatic liver diseases. J Hepatol 2009;51:237–67.

Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

1.4b524

Sayıdaki Diğer Makaleler

Postmastectomy Pain Syndrome: A Retrospective Cohort Study About the Relationship of Histopathological Type and Comorbidities

Aslınur SAGÜN, Şebnem Rumeli ATICI, Güldane KARABAKAN, Ahmet DAĞ, Mustafa AZİZOĞLU

Intrapelvic Causes of Sciatica: A Systematic Review

Ahmet KALE, Betül KURU, Gülfem BAŞOL, Elif Cansu GÜNDOĞDU, TÜLAY YILDIRIM MAT, GAZİ YILDIZ, Navdar Doğuş UZUN, Taner A. USTA

A Rare Case of Nosocomial Urosepsis in an Elderly Patient: Sphingomonas Paucimobilis

Ayşegül SEREMET KESKİN, Filiz KIZILATEŞ, Kübra DEMİR ÖNDER

Myricetin Decreases Ovarian and Lung Tissue Injury Induced by Ovarian Torsion- Detorsion: A Biochemical Study

Yunus Emre TOPDAĞI, Ayhan TANYELİ, Fazile Nur EKİNCİ AKDEMİR, ERSEN ERASLAN, Mustafa CAN GÜLER

Touristic Bicycle Accidents in Princess Islands: A Retrospective Cohort Study

Avni Uygar SEYHAN, SEVİM ŞEN, Nihat HÖKENEK, Erdal YILMAZ, Rohat AK

Persimmon (Diospyros Kaki L.) Alleviates Ethanol-Induced Gastric Ulcer in Rats

Mustafa CAN GÜLER, Ayhan TANYELİ, ERSEN ERASLAN, Mehmet Ramazan BOZHÜYÜK, Fazile Nur EKİNCİ AKDEMİR, Erdem TOKAY, Nezahat KURT, Esra ÇAPANOĞLU GÜVEN, Gülay ÖZKAN

The Impact of Graves’ Ophthalmopathy On Anterior and Posterior Ocular Structures: Ocular Imaging Based Study

Hatice Selen SÖNMEZ KANAR, Murat OKLAR, Ayşegül PENBE, Aysu ARSAN, Engin Ersin ŞİMŞEK

Clinical Importance of Serum and Urinary Fractalkine Level in Primary Non-Muscle Invasive Bladder Cancer

Cengiz ÇANAKÇI, Asıf YILDIRIM, Özgür ARIKAN, Banu ISBİLEN BASOK, Ramazan Gökhan ATIŞ, Cenk GÜRBÜZ, Seyma OZKANLI, FERRUH KEMAL İŞMAN, Turhan ÇAŞKURLU

Quality of Life After Rectal Cancer Surgery: Comparison of Open and Laparoscopic Approaches

Selçuk KAYA, Ramazan SARI

The Evaluation of Liver Steatosis with Transient Elastography in Metabolic Syndrome and the Relationship Between Serum Endorphin Levels

Ebru Sinem BİLGİN, Engin BEYDOĞAN, Savaş GÜZEL, Osman MAVİŞ, Banu BOYUK