Do multiple gallbladder polyps always require surgical removal?

Apr 10, 2023 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Whether multiple gallbladder polyps must be removed depends on their size and whether clinical symptoms are present. If the polyps are relatively small, asymptomatic, and not accompanied by gallstones, removal is usually not necessary. However, if the polyps increase in size or are associated with gallstones and cause symptoms such as right upper abdominal pain, bloating, or jaundice of the skin and sclera, surgical removal is generally required.

In general, whether multiple gallbladder polyps must be removed depends on their size and the presence of clinical symptoms. If the polyps are small and not causing any symptoms, removal is usually unnecessary. Conversely, removal is typically required if they are large or symptomatic. The detailed analysis is as follows:

1. Not necessarily requiring removal

Multiple gallbladder polyps are usually lesions in which the gallbladder wall protrudes or bulges into the gallbladder cavity. If the polyps are small, asymptomatic, and not associated with gallstones, surgical removal is generally not necessary. In such cases, regular follow-up examinations as advised by a physician are recommended, along with avoiding foods high in cholesterol.

2. Requiring removal

If multiple gallbladder polyps increase in size or are accompanied by gallstones, leading to symptoms such as right upper abdominal pain, bloating, or jaundice (yellowing of the skin and sclera), surgical removal is usually necessary to prevent complications such as malignant transformation of the polyps.

Patients are advised to seek timely medical evaluation and actively cooperate with treatment to control disease progression.


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