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How to treat gallbladder polyps

Sep 13, 2022 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
How to treat gallbladder polyps: 1. Conservative treatment. Applicable for cholesterol polyps smaller than 1 cm in diameter; treated with oral medication. 2. Cholecystectomy. Complete removal of the gallbladder and polyps; recommended when the polyp diameter exceeds 1 cm. 3. Polypectomy with gallbladder preservation. Suitable for patients with surgical indications; involves opening the gallbladder, removing the polyp, and closing the gallbladder incision.

During health checkups, some people are found to have gallbladder polyps, which can be classified into two types: pseudopolyps and true polyps. Pseudopolyps do not originate from the gallbladder wall itself; instead, they result from cholesterol crystals in bile depositing on the gallbladder wall, leading to the formation of polyp-like structures. This type is the most common form seen in clinical practice. So how should gallbladder polyps be treated? Let's take a closer look.

Treatment Options for Gallbladder Polyps

1. Conservative Management

This approach is suitable for patients under 50 years old diagnosed with cholesterol polyps, whose polyps measure less than 1 cm in diameter and who show no symptoms or discomfort. In such cases, oral medications may be used for treatment. Regular follow-up examinations are required afterward to monitor the polyp’s status. If the polyp shows continuous growth or significant changes over a short period, surgical intervention should be considered.

2. Cholecystectomy (Gallbladder Removal Surgery)

This procedure involves surgically removing both the gallbladder and the polyp completely, eliminating any future risks. It is recommended when the gallbladder polyp exceeds 1 cm in diameter and is accompanied by noticeable abdominal discomfort. It may also be chosen if the polyp is smaller than 1 cm but shows rapid changes within a short time or has signs indicating potential malignancy.

3. Polyp Removal with Gallbladder Preservation (Minimally Invasive "Preserve-the-Gallbladder" Surgery)

This option is suitable for patients who meet surgical indications but prefer not to have their gallbladder removed. Thus, preserving the gallbladder while removing the polyp becomes the primary choice. The surgery involves opening the gallbladder and removing the polyp under guidance of a choledochoscope, followed by closing the incision. This is also a minimally invasive procedure.

The above information outlines the treatment options available for gallbladder polyps. If you are diagnosed with gallbladder polyps, it is important to seek timely medical care, strictly follow your doctor’s advice, and choose a reputable hospital for treatment or surgery to avoid delaying the condition. We hope this article has been helpful to you. Wishing you good health and a happy life.

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What is multiple gallbladder polypoid lesions?
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Do patients with gallbladder polyps pass gas more frequently?
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Where is the location of pain caused by gallbladder polyps?
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What are the types of gallbladder polypoid lesions?
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