This is an automatically translated article.
Article written by MSc Nguyen Thai Binh - Gastroenterologist - General Surgery Department - Vinmec Ha Long International General Hospital
Gallbladder polyps are papillomas that form from the inner lining of the gallbladder. Most gallbladder polyps are benign. Depending on the polyp size to assess the danger of gallbladder polyps and the application of appropriate treatment.
1. What are gallbladder polyps?
Gallbladder polyps, also known as gallbladder mucosal papillomas, are tumor-like lesions or pseudotumors that develop on the surface of the gallbladder mucosa (wall of the gallbladder) that protrude into the gallbladder lumen. Gallbladder polyps occur at any age.
Most of the cases are asymptomatic and are only discovered incidentally through ultrasound during a general health check-up, cancer screening. Of which about 90-95% of gallbladder polyps are benign, malignant tumors account for only 5-10% of gallbladder polyp cases.
2. Symptoms and methods of diagnosing gallbladder polyps
Most cases of gallbladder polyps do not present with specific symptoms and are often discovered incidentally during routine physical examination or examination for other reasons.
Polyp túi mật thường khó phát hiện vì không có biểu hiện triệu chứng đặc trưng
Only about less than 10% of gallbladder polyp patients have symptoms, the most common is pain in the right lower abdomen or upper abdomen, a few have nausea and vomiting, slow digestion. especially when the diet is high in calories or fat.
Therefore, the detection of gallbladder polyps is mainly thanks to imaging tools such as abdominal ultrasound, abdominal computed tomography and magnetic resonance imaging (MRI) of the biliary tree.
3. When is gallbladder polyp surgery needed?
Although the majority of gallbladder polyps are benign, there is still a 5-10% risk of developing cancer. Therefore, early detection in order to have a follow-up plan and timely surgical intervention is very important to eliminate the earliest risk of cancer for the patient.
Malignant gallbladder polyps will often have different characteristics from benign polyps. Cases of abnormal polyps, the possibility of developing into a malignant tumor is high, such as:
A polyp with wide legs (stalkless polyp). Large polyp size (more than 10 mm). Polyps are small in size, but grow in large clusters in the gallbladder (polyposis). Polyps grow abnormally fast, legs spread or increase in number as well as double in size in a short time. Polyps develop in people over the age of 50. Polyps with gallstones with painful symptoms or cholecystitis.
Những trường hợp polyp bất thường có khả năng cao phát triển thành các u ác tính
4. Laparoscopic cholecystectomy for Gallbladder Polyps
Laparoscopic cholecystectomy is the gold standard for the treatment of gallbladder stones or polyps. It is a minimally invasive, painless, and fast patient recovery with few complications and complications.
However, after surgery, patients may still experience some changes in food digestion. As we all know, the gallbladder is a storehouse for bile to pour into the intestines when we eat, after the gallbladder is gone, the bile produced by the liver continuously day and night will pour directly into the intestines, causing a number of problems including: include: diarrhea (most common), bloating, indigestion... Therefore, after cholecystectomy, patients need to adjust their diet such as eating less fat, increasing fiber from vegetables and fruits, Split meals...
In short, gallbladder polyps are not so rare in fact and only a few progress to cancer. Therefore, most cases do not require any treatment but should be monitored periodically and surgical intervention is only needed when the above indications or malignancy are suspected, because gallbladder cancer has a very poor prognosis. .
Vinmec International General Hospital is one of the leading hospitals in the country in terms of modern equipment and technology. In addition to outstanding services with comprehensive and professional medical examination, consulting and treatment services; civilized, polite, safe and sterile medical examination and treatment space. Vinmec is also the convergence of a team of qualified and highly skilled medical doctors ... Therefore, customers can completely rest assured when examining and treating diseases at clinic systems across the country.
For detailed information, please contact the hospitals and clinics of Vinmec health system nationwide.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
SEE MOREGallbladder polyps are what disease and do they need to be treated? Gallbladder Polyps: Concern about the possibility of cancer How are gallbladder polyps diagnosed and treated?
