The article was consulted professionally by Master, Dr Vu Huy Binh – Department of Medical Examination and Internal Medicine – Share99 Hai Phong International Health Hub. The doctor has 09 years of experience in the field of digestive endoscopy.
Gallbladder polyps are a tumor-like lesion or false tumor that develops on the surface of the gallbladder mucosa. Gallbladder polyps are quite common diseases and can appear at any age. So how to diagnose and treat gallbladder polyps, please follow the article below.
1. Diagnosis of gallbladder polyps
1.1 Clinical symptoms
- Muscles: often ambiguous, less rampant, only clinical manifestations when polyps cause excreted disorders, excrete bile in the gallbladder or have gallstones or inflammation of the gallbladder attached. Mild pain in the lower right flank or upperside, pain usually appears after eating, may be abdominal bloating, ingestion, nausea and vomiting.
- Full body: The person usually has no fever and no signs of bile obstruction.
- Physical: Abdominal examination may show mild pain in the lower right flank, most of which do not detect abnormal signs. Examine other agencies for associated conditions.
- Abdominal ultrasound: this method is useful for screening for gallbladder diseases: gallbladder stones, gallbladder polyps.
- The gallbladder polyp image on the ultrasound is an amper ampr amper, without bumper balls.
- Ultrasound allows the determination of polyps, the location, size and shape of polyps (with stalks or without peduncles), which helps to monitor progress for proper processing direction. The correct diagnostic rate of ultrasound for gallbladder polyps is over 90%.
- Oral ortholypolypedral imaging: the polyp image shown to be a photoresic barrier in the gallbladder has been infused with the drug.
- Endoscopic upstream bile scan: this method is usually in place when bile otoscopy fails.
- CT scanner (MSCT scanner): applied in cases where large polyps are at risk of malignanity. The image of polyp lesions in circ topectry is the mass that increases the density of the convex in the gallbladder. CT has a reflective drug pump that makes the diagnosis nearly 90% accurate.
- Mri: This method is in order when the polyp lesion is suspected to be malignant. On polyp MRI film is the signal gain block in T2.
- Biomedification: assessment of renal liver function, hepatitis virus test (HCV, HbsAg…), immunity (CEA, CA 19-9).
2. Treatment of gallbladder polyps
About 92% of gallbladder polyps are benign (non-cancerous), so patients do not need intervention to treat gallbladder removal.
- With small polyps under 10mm (or less than 15mm) it is possible to simply monitor regularly every 3-6 months without surgical removal of the gallbladder.
- Polyps larger than 10mm in size are capable of progressing to cancer, especially those larger than 15mm, so removal of the gallbladder may be recommended to prevent the development of gallbladder cancer.
Doctors agreed on a treatment regimen for gallbladder polyps as follows:
- If suspected gallbladder polyps are detected through ultrasound, the patient has no symptoms such as pain, fever … it is recommended to check again after 6-12 months to confirm.
- If after that time there is no longer an image of polyps then there is no need to process anything. In case of clear polyp images, 6-month ultrasound should be monitored if the tumor is larger than 10mm, or malignant manifestations are detected through blood tests, other probes or polyps that have shown clinical manifestations such as recurrent fever should be prescribed early surgery.
The diagnosis and early detection of gallbladder polyps is very important for doctors to give appropriate treatment directions, making the treatment of gallbladder polyps more positive. Therefore, you should actively visit reputable hospitals when you see any signs of abnormalities suspected gallbladder polyps.
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