Publication
Management of gallbladder polyps
dc.contributor.author | Matos, AS | |
dc.contributor.author | Baptista, HN | |
dc.contributor.author | Pinheiro, C | |
dc.contributor.author | Martinho, F | |
dc.date.accessioned | 2010-12-20T16:12:38Z | |
dc.date.available | 2010-12-20T16:12:38Z | |
dc.date.issued | 2010 | |
dc.description.abstract | OBJECTIVE: Appropriate treatment and timing hinge on whether the lesion is benign or malignant. Study: A five years retrospective descriptive analysis was performed. Location : Department of General Surgery in Hospitals of the University of Coimbra. Patients: We present a series of 93 consecutive patients who had elective surgery for known gallbladder polyps, treated from January 2003 to December 2007. METHODS: An analysis was performed using clinical and radiological files of patients electively treated for gallbladder polyp. Ninety-three consecutive patients were evaluated, treated and followed in a Department of General Surgery in a Central Hospital in that period. Biographic, clinical and radiological data were compiled. RESULTS: In 91 patients a benign lesion was found. Two (2.16%) patients had adenocarcinoma. Among benign polyps, 73 (78,5%) were cholesterol polyps, 14 (15%) were hyper-plastic and 2 (2.19%) were premalignant adenomas. Mean diameter of benign polyps, excluding adenomas, was 6 mm. In 40 (43%) patients, multiple lesions were found. The mean diameter in the subset of malignant and premalignant polyps was 18.8 mm, in all instances these were found to be single lesions; and mean age at presentation was 57,7 years. CONCLUSION: Cholecystectomy is the appropriate surgical treatment for gallbladder polyps, when removal is warranted. Patients benefitting from surgery are those who are symptomatic, whose polyps exceed 10 mm in diameter and , have shown to be enlarging, to be sessile or broad-based, to have long pedicles;and also have . infundibular polyps, coexisting gallstones or changes on the gallbladder wall appearance at ultrasonography | por |
dc.identifier.citation | Rev Assoc Med Bras. 2010 May-Jun;56(3):318-21 | por |
dc.identifier.uri | http://hdl.handle.net/10400.4/904 | |
dc.language.iso | eng | por |
dc.peerreviewed | yes | por |
dc.subject | Colecistectomia | por |
dc.subject | Doenças da Vesícula Biliar | por |
dc.subject | Pólipos | por |
dc.title | Management of gallbladder polyps | por |
dc.type | journal article | |
dspace.entity.type | Publication | |
rcaap.rights | openAccess | por |
rcaap.type | article | por |