Gallbladder Polyps: Epidemiology, Natural History and Management

Polypoid lesions of the gallbladder affect approximately 5% of the adult population. Most affected individuals are asymptomatic, and their gallbladder polyps are detected during abdominal ultrasonography performed for unrelated conditions. Although the majority of gallbladder polyps are benign, most...

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Main Authors: Robert P Myers, Eldon A Shaffer, Paul L Beck
Format: Article
Language:English
Published: Wiley 2002-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2002/787598
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author Robert P Myers
Eldon A Shaffer
Paul L Beck
author_facet Robert P Myers
Eldon A Shaffer
Paul L Beck
author_sort Robert P Myers
collection DOAJ
description Polypoid lesions of the gallbladder affect approximately 5% of the adult population. Most affected individuals are asymptomatic, and their gallbladder polyps are detected during abdominal ultrasonography performed for unrelated conditions. Although the majority of gallbladder polyps are benign, most commonly cholesterol polyps, malignant transformation is a concern. The differentiation of benign from malignant lesions can be challenging. Several features, including patient age, polyp size and number, and rapid growth of polyps, are important discriminating features between benign and malignant polyps. Based on the evidence highlighted in this review, the authors recommend resection in symptomatic patients, as well as in asymptomatic individuals over 50 years of age, or those whose polyps are solitary, greater than 10 mm in diameter, or associated with gallstones or polyp growth on serial ultrasonography. Novel imaging techniques, including endoscopic ultrasonography and enhanced computed tomography, may aid in the differential diagnosis of these lesions and permit expectant management.
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spelling doaj-art-39c3514109af4ee1961faabb2a4c5e4d2025-08-20T03:55:36ZengWileyCanadian Journal of Gastroenterology0835-79002002-01-0116318719410.1155/2002/787598Gallbladder Polyps: Epidemiology, Natural History and ManagementRobert P Myers0Eldon A Shaffer1Paul L Beck2Division of Gastroenterology, Department of Medicine, University of Calgary, Calgary, Alberta, CanadaDivision of Gastroenterology, Department of Medicine, University of Calgary, Calgary, Alberta, CanadaDivision of Gastroenterology, Department of Medicine, University of Calgary, Calgary, Alberta, CanadaPolypoid lesions of the gallbladder affect approximately 5% of the adult population. Most affected individuals are asymptomatic, and their gallbladder polyps are detected during abdominal ultrasonography performed for unrelated conditions. Although the majority of gallbladder polyps are benign, most commonly cholesterol polyps, malignant transformation is a concern. The differentiation of benign from malignant lesions can be challenging. Several features, including patient age, polyp size and number, and rapid growth of polyps, are important discriminating features between benign and malignant polyps. Based on the evidence highlighted in this review, the authors recommend resection in symptomatic patients, as well as in asymptomatic individuals over 50 years of age, or those whose polyps are solitary, greater than 10 mm in diameter, or associated with gallstones or polyp growth on serial ultrasonography. Novel imaging techniques, including endoscopic ultrasonography and enhanced computed tomography, may aid in the differential diagnosis of these lesions and permit expectant management.http://dx.doi.org/10.1155/2002/787598
spellingShingle Robert P Myers
Eldon A Shaffer
Paul L Beck
Gallbladder Polyps: Epidemiology, Natural History and Management
Canadian Journal of Gastroenterology
title Gallbladder Polyps: Epidemiology, Natural History and Management
title_full Gallbladder Polyps: Epidemiology, Natural History and Management
title_fullStr Gallbladder Polyps: Epidemiology, Natural History and Management
title_full_unstemmed Gallbladder Polyps: Epidemiology, Natural History and Management
title_short Gallbladder Polyps: Epidemiology, Natural History and Management
title_sort gallbladder polyps epidemiology natural history and management
url http://dx.doi.org/10.1155/2002/787598
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AT eldonashaffer gallbladderpolypsepidemiologynaturalhistoryandmanagement
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