Gallbladder polyps

被引：24
作者：
Persley K.M. [1 ]
机构：
[1] Univ. Texas Southwestern Med. Center, Dallas, TX 75231
来源：
Current Treatment Options in Gastroenterology | 2005年 / 8卷 / 2期
关键词：
Adenoma; Laparoscopic Cholecystectomy; Malignant Potential; Gallbladder Cancer; Gallbladder Carcinoma;
D O I：
10.1007/s11938-005-0002-3
中图分类号：
学科分类号：
摘要：
Most small gallbladder polyps are benign and do not change significantly over time. They are usually incidental findings on ultrasound. Therefore, these polyps should be checked periodically with routine percutaneous ultrasonography. In the asymptomatic patient, gallbladder polyps that are greater than 1 cm in diameter should be treated with cholecystectomy. The size of the polyp and the patient greater than 50 years are important risk factors for malignant potential. Patients who have biliary pain and small gallbladder polyps without gallstones present a difficult management decision for the clinician. If the physician is confident that the polyps are the source of the pain, patients should be referred for cholecystectomy. Endoscopic ultrasound and positron emission tomography may prove to be useful in assessing the malignant potential of large gallbladder polyps. Laparoscopic cholecystectomy is the treatment of choice for most gallbladder polyps. If a malignant polyp is suspected, patients should undergo an open cholecystectomy. Copyright © 2005 by Current Science Inc.
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页码：105 / 108
页数：3
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共 15 条
  • [1] Okamato M., Okamoto H., Kitahara F., Et al., Ultrasonographic evidence of association of polyps and stones with gallbladder cancer, Am. J. Gastroenterol., 94, (1999)
  • [2] Sheth S., Bedford A., Chopra S., Primary gallbladder cancer: Recognition of risk factors and role of prophylactic cholecystectomy, Am. J. Gastroenterol., 95, pp. 1402-1410, (2000)
  • [3] Jorgensen T., Jensen K., Polyps of the gallbladder: A prevalence study, Scand. J. Gastroenterol., 25, pp. 281-286, (1990)
  • [4] Bilhartz L., Acalculous cholecystitis, Cholesterolosis, Adenomymatosis and polyps of the gallbladder, Sleissenger and Fortran's Gastrointestinal and Liver Disease, pp. 1125-1127
  • [5] Moriguchi H., Tazawa J., Hayashi Y., Et al., Natural history of polypoid lesion in the gallbladder, Gut, 39, pp. 860-862, (1996)
  • [6] Csendes A., Burgos A., Csendes P., Et al., Late follow-up of polypoid lesions of the gallbladder smaller than 10 mm, Ann. Surg., 234, pp. 657-660, (2001)
  • [7] Yang H., Sun Y., Wang Z., Polypoid lesions of the gallbladder: Diagnosis and indications for surgery, Br. J. Surg., 79, pp. 227-229, (1992)
  • [8] Sugiyama M., Atoni Y., Yamato T., Endoscopic ultrasonography for differential diagnosis of polypoid gall bladder lesions: Analysis in surgical and follow up series, Gut, 46, pp. 250-254, (2002)
  • [9] Choi W., Lee S., Kim M., Et al., A new strategy to predict the neoplastic polyp of the gallbladder based on a scoring system using EUS, Gastrointest. Endosc., 52, pp. 372-376, (2000)
  • [10] Koh T., Taniguchi H., Kunishima S., Tamagishi H., Possibility of differential diagnosis of small polypoid lesions in the gallbladder using FDG-PET, Clin. Positron Imaging, 3, pp. 213-318, (2000)
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