Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 36 - 39 Metin Dili: İngilizce DOI: 10.14744/scie.2020.77045 İndeks Tarihi: 17-06-2021

Are Our Surgical Indications Accurate for Gallbladder Polyps?

Öz:
Objective: The gallbladder polyp (GBP)s are mostly known as non-neoplastic lesions andhave malignancy potential, which is an essential factor in the follow-up and treatment of thepatient. This study aimed to evaluate the indications for surgery and compare the radiologicaland pathological findings of patients who were operated with the pre-diagnosis of GBP.Methods: The demographic and clinical data, histopathological features, interventions andcomplication rate of the patients who underwent surgery for GBP between January 2015and June 2020 in our clinic were retrospectively evaluated in this study.Results: Cholecystectomy was performed in 93 patients with a diagnosis of GBP. MultipleGBPs were observed in 44 (47.3%) patients on radiological imaging, and the mean diameterof the polyps was 6 mm. Polyps were found in 33 (35.5%) of the 93 patients in histopathologicalexamination. Cholesterolosis was detected in 29 (31.2%) of the patients, cholelithiasisin 22 (23.6%) patients, and no abnormality was found in 16 (17.2%) patients. While cholesterolosisand cholelithiasis were seen together in 11 (11.8%) patients, cholelithiasis and GBPwere detected in only one patient.Conclusion: Clinical examination and imaging findings, such as the size, appearance and thenumber of polyps, have a critical role in the indication of surgery for patients with GBPs.The risk factors and the clinical findings of the patients should be considered together foran accurate surgery decision.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. McCain RS, Diamond A, Jones C, Coleman HG. Current practices and future prospects for the management of gallbladder polyps: A topical review. World J Gastroenterol 2018;24:2844–52.
  • 2. Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, et al. Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34 669 cases. J Gastroenterol Hepatol 2008;23:965–9.
  • 3. Andrén-Sandberg A. Diagnosis and management of gallbladder polyps. N Am J Med Sci 2012;4:203–11.
  • 4. Wiles R, Thoeni RF, Barbu ST, Yogesh KV, Rafaelsen SR, Dewhurst C, et al. Management and follow-up of gallbladder polyps: Joint guidelines between the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), European Association for Endoscopic Surgery and other Interventional Techniques (EAES), International Society of Digestive Surgery - European Federation (EFISDS) and European Society of Gastrointestinal Endoscopy (ESGE). Eur Radiol 2017;27:3856–66.
  • 5. Bhatt NR, Gillis A, Smoothey CO, Awan FN, Ridgway PF. Evidence based management of polyps of the gall bladder: A systematic review of the risk factors of malignancy. Surgeon 2016;14:278–86.
  • 6. Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, et al. Diagnosis and management of primary sclerosing cholangitis. Hepatology 2010;51:660–78.
  • 7. Aldouri AQ, Malik HZ, Waytt J, Khan S, Ranganathan K, Kummaraganti S, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009;35:48–51.
  • 8. Jones MW, Deppen JG. Gallbladder Polyp. In: StatPearls. Florida: StatPearls Publishing; 2020. Available at: https://www.ncbi.nlm.nih. gov/books/NBK470211/. Accessed Feb 15, 2021.
  • 9. Andrén-Sandberg A. Diagnosis and management of gallbladder polyps. N Am J Med Sci 2012;4:203–11.
  • 10. French DG, Allen PD, Ellsmere JC. The diagnostic accuracy of transabdominal ultrasonography needs to be considered when managing gallbladder polyps. Surg Endosc 2013;27:4021–5.
  • 11. Babu BI, Dennison AR, Garcea G. Management and diagnosis of gallbladder polyps: a systematic review. Langenbecks Arch Surg 2015;400:455–62.
  • 12. Kwon W, Jang JY, Lee SE, Hwang DW, Kim SW. Clinicopathologic features of polypoid lesions of the gallbladder and risk factors of gallbladder cancer. J Korean Med Sci 2009;24:481–7.
  • 13. Park JK, Yoon YB, Kim YT, Ryu JK, Yoon WJ, Lee SH, et al. Management strategies for gallbladder polyps: is it possible to predict malignant gallbladder polyps? Gut Liver 2008;2:88–94.
  • 14. Aldouri AQ, Malik HZ, Waytt J, Khan S, Ranganathan K, Kummaraganti S, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009;35:48–51.
  • 15. European Association for the Study of the Liver. EASL Clinical Practice Guidelines: management of cholestatic liver diseases. J Hepatol 2009;51:237–67.
APA Memişoğlu E, Alkan M, Başkent A (2021). Are Our Surgical Indications Accurate for Gallbladder Polyps?. , 36 - 39. 10.14744/scie.2020.77045
Chicago Memişoğlu Ecem,Alkan Murat,Başkent Ahmet Are Our Surgical Indications Accurate for Gallbladder Polyps?. (2021): 36 - 39. 10.14744/scie.2020.77045
MLA Memişoğlu Ecem,Alkan Murat,Başkent Ahmet Are Our Surgical Indications Accurate for Gallbladder Polyps?. , 2021, ss.36 - 39. 10.14744/scie.2020.77045
AMA Memişoğlu E,Alkan M,Başkent A Are Our Surgical Indications Accurate for Gallbladder Polyps?. . 2021; 36 - 39. 10.14744/scie.2020.77045
Vancouver Memişoğlu E,Alkan M,Başkent A Are Our Surgical Indications Accurate for Gallbladder Polyps?. . 2021; 36 - 39. 10.14744/scie.2020.77045
IEEE Memişoğlu E,Alkan M,Başkent A "Are Our Surgical Indications Accurate for Gallbladder Polyps?." , ss.36 - 39, 2021. 10.14744/scie.2020.77045
ISNAD Memişoğlu, Ecem vd. "Are Our Surgical Indications Accurate for Gallbladder Polyps?". (2021), 36-39. https://doi.org/10.14744/scie.2020.77045
APA Memişoğlu E, Alkan M, Başkent A (2021). Are Our Surgical Indications Accurate for Gallbladder Polyps?. Southern Clinics of Istanbul Eurasia, 32(1), 36 - 39. 10.14744/scie.2020.77045
Chicago Memişoğlu Ecem,Alkan Murat,Başkent Ahmet Are Our Surgical Indications Accurate for Gallbladder Polyps?. Southern Clinics of Istanbul Eurasia 32, no.1 (2021): 36 - 39. 10.14744/scie.2020.77045
MLA Memişoğlu Ecem,Alkan Murat,Başkent Ahmet Are Our Surgical Indications Accurate for Gallbladder Polyps?. Southern Clinics of Istanbul Eurasia, vol.32, no.1, 2021, ss.36 - 39. 10.14744/scie.2020.77045
AMA Memişoğlu E,Alkan M,Başkent A Are Our Surgical Indications Accurate for Gallbladder Polyps?. Southern Clinics of Istanbul Eurasia. 2021; 32(1): 36 - 39. 10.14744/scie.2020.77045
Vancouver Memişoğlu E,Alkan M,Başkent A Are Our Surgical Indications Accurate for Gallbladder Polyps?. Southern Clinics of Istanbul Eurasia. 2021; 32(1): 36 - 39. 10.14744/scie.2020.77045
IEEE Memişoğlu E,Alkan M,Başkent A "Are Our Surgical Indications Accurate for Gallbladder Polyps?." Southern Clinics of Istanbul Eurasia, 32, ss.36 - 39, 2021. 10.14744/scie.2020.77045
ISNAD Memişoğlu, Ecem vd. "Are Our Surgical Indications Accurate for Gallbladder Polyps?". Southern Clinics of Istanbul Eurasia 32/1 (2021), 36-39. https://doi.org/10.14744/scie.2020.77045