Current management of gallbladder polyps in Chile
Abstract
Introduction: Gallbladder polyps are a mucosal projection into the gallbladder lumen and an increasingly frequent diagnosis, due to radiologic advances. In Chile, the incidence of gallbladder cancer reaches 12,8 per 100.000 habitants. Materials and Methods: A review of 20 papers (national and international) was carried out on platforms like PubMed, UpToDate and google Scholar. Results: Mostly asymptomatic, a minority evolves to a malignant neoplasia. There is no consensus between the studies about all management criteria, being the most accepted one to an active treatment, a size ≥10mm. Other factors include association with primary sclerosing cholangitis (PSC) or cholelithiasis, sessile morphology, older age, and single polyps. Discussion: Given de incidence of incidental finding of polyps and the difficulty in differentiating potentially malignant polyps through images, associated with the high incidence of gallbladder cancer in Chile; active management with cholecystectomy is recommended for those measuring 10mm or more, associated with symptoms, cholelithiasis or PSC or growth in follow-up, age older than 50 years, sessile morphology, and Indian ethnicity. Due to the malignant potential of gallbladder polyps, their frequently asymptomatic presentation and the importance of gallbladder cancer in Chile, this review has the objective of making explicit the currently accepted risk factors and propose a management algorithm for gallbladder polyps in Chile.Keywords:
Gallbladder, Polyps, Gallbladder Neoplasms, Adenomatous PolypsReferences
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