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Management of gallbladder polyps

dc.contributor.authorMatos, AS
dc.contributor.authorBaptista, HN
dc.contributor.authorPinheiro, C
dc.contributor.authorMartinho, F
dc.date.accessioned2010-12-20T16:12:38Z
dc.date.available2010-12-20T16:12:38Z
dc.date.issued2010
dc.description.abstractOBJECTIVE: 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 ultrasonographypor
dc.identifier.citationRev Assoc Med Bras. 2010 May-Jun;56(3):318-21por
dc.identifier.urihttp://hdl.handle.net/10400.4/904
dc.language.isoengpor
dc.peerreviewedyespor
dc.subjectColecistectomiapor
dc.subjectDoenças da Vesícula Biliarpor
dc.subjectPólipospor
dc.titleManagement of gallbladder polypspor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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