Can multiple gallbladder polyps heal spontaneously?
Multiple gallbladder polyps may sometimes resolve spontaneously. However, most patients do not experience self-resolution.
Small, solitary gallbladder polyps—mainly cholesterol polyps—may disappear. These cholesterol polyps typically measure about 1–3 mm in diameter and may completely vanish upon follow-up abdominal color Doppler ultrasound after dietary adjustments or treatment with anti-inflammatory and bile-promoting medications or ursodeoxycholic acid.
Gallbladder polyps are a common condition, classified as either single or multiple polyps. Polyps larger than 1 cm in diameter generally persist in the gallbladder. In such cases, laparoscopic cholecystectomy should be considered. After surgery, the removed gallbladder should be sent to pathology for histological examination, including staining and sectioning, to determine the nature of the polyp and assess any potential for additional pathological changes.
Multiples gallbladder polyps rarely cause clinical symptoms. For patients with small polyps who prefer to avoid surgery, close follow-up with regular ultrasound examinations is recommended. Surgery should be performed promptly if any changes are detected.