Vesicular polyps

Is it always necessary to perform a cholecystectomy?

Authors

  • Patricia López Penza

Keywords:

VESICULAR POLYPS

Abstract

Worldwide in 2020, the incidence of gallbladder cancer was 115,949 cases, with a mortality of 84,695; gallbladder polyps (VP) are identified as a risk factor in the development of this tumor type.
Its prevalence ranges from 0.3% to 0.9%. The improvement in the resolution of abdominal ultrasound has led to an increase in the diagnosis of PV, many times unsuspected until now. It is a fundamental pillar in the making of surgical therapeutic decisions or control through ultrasound follow-up. For their definition, they must meet standardized ultrasound criteria: bulges of the gallbladder wall without showing acoustic shadows, immobile and hyperechoic in comparison with the surrounding bile and that it is adhered to the gallbladder wall, highlighting the importance of the imaging specialist. in its diagnostic approach.

References

1) Park J, Yoon Y, Kim Y, Ryu J, Yoon W, Lee S, et al. Management strategies for gallbladder polyps: is it possible to predict malignant gallbladder polyps. Gut Liver 2008; 2(2):88-94.
2) Martin E, Gill R, Debru E. Diagnostic accuracy of transabdominal ultrasonography for gallbladder polyps: systematic review. Can J Surg 2018; 61(3):200-7.
3) Sarici IS, Duzgun O. Gallbladder polypoid lesions >15 mm as indicators of T1b gallbladder cancer risk. Arab J Gastroenterol 2017; 18(3):156-8.
4) Wennmacker S, van Dijk AH, Raessens JHJ, van Laarhoven CJHM, Drenth JPH, de Reuver PR, et al. Polyp size of 1 cm is insufficient to discriminate neoplastic and non-neoplastic gallbladder polyps. Surg Endosc 2019; 33(5):1564-71.
5) Wiles R, Thoeni R, Barbu S, Vashist Y, Rafaelsen S, 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(9):3856-66.

Published

2021-09-17

How to Cite

1.
López Penza P. Vesicular polyps: Is it always necessary to perform a cholecystectomy?. Rev. Méd. Urug. [Internet]. 2021 Sep. 17 [cited 2024 Nov. 22];37(3):e37317. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/754

Issue

Section

Letters to the Editor