Gallbladder polyp overview: Difference between revisions
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==Overview== | ==Overview== | ||
Gallbladder polyps are a common clinical findings occurring in 5% of patients who often have cross-sectional imaging for non-specific abdominal symptoms. | Gallbladder polyps are a common clinical findings occurring in 5% of patients who often have cross-sectional imaging for non-specific abdominal symptoms. | ||
==Historical Perspective== | |||
==Classification== | |||
==Pathophysiology== | ==Pathophysiology== | ||
In patients with gallbladder polyps, it is important to note what type of polyp is described. While true polyps are adenomatous, gallbladder polyps are often non-epithelial growths and, in fact, about 70% of polyps are cholesterol polyps that have no malignant potential. Adenomas are uncommon and constitute approximately 8% of all gallbladder polyps. Less common polypoid lesions include gallbladder | In patients with gallbladder polyps, it is important to note what type of polyp is described. While true polyps are adenomatous, gallbladder polyps are often non-epithelial growths and, in fact, about 70% of polyps are cholesterol polyps that have no malignant potential. Adenomas are uncommon and constitute approximately 8% of all gallbladder polyps. Less common polypoid lesions include gallbladder [[adenocarcinoma]]s, inflammatory [[polyp]]s, [[gallstone]]s masquerading as polyps and heterotopic tissue. | ||
==Causes== | |||
==Differentiating {{PAGENAME}} from Other Diseases== | |||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
The incidence of gallbladder polyps is higher among men than women. The overall prevalence among men of Chinese ancestry is 9.5%, higher than other ethnic types. <ref name=" pmid 17725602 ">{{cite journal |author= Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, Chiu CT |title= Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34,669 cases. |journal= Journal of Gastroenterol Hepatology |volume=23 |issue=6 |pages=965-9 |year=2008 |pmid=17725602 }}</ref> Polypoid lesions of the gallbladder affect approximately 5% of the adult population.<ref name=" pmid 11930198 ">{{cite journal |author= Myers RP, Shaffer EA, Beck PL |title= Gallbladder polyps: epidemiology, natural history and management. |journal= Can J Gastroenterol. |volume=16 |issue=3 |pages=187-94 |year=2002 |pmid=11930198 }}</ref> The causes are uncertain, but there is a definite correlation with increasing age and the presence of [[gallstones]] ([[cholelithiasis]]). Most affected individuals do not have symptoms. The gallbladder polyps are detected during abdominal ultrasonography performed for other reasons. | The incidence of gallbladder polyps is higher among men than women. The overall prevalence among men of Chinese ancestry is 9.5%, higher than other ethnic types. <ref name=" pmid 17725602 ">{{cite journal |author= Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, Chiu CT |title= Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34,669 cases. |journal= Journal of Gastroenterol Hepatology |volume=23 |issue=6 |pages=965-9 |year=2008 |pmid=17725602 }}</ref> Polypoid lesions of the gallbladder affect approximately 5% of the adult population.<ref name=" pmid 11930198 ">{{cite journal |author= Myers RP, Shaffer EA, Beck PL |title= Gallbladder polyps: epidemiology, natural history and management. |journal= Can J Gastroenterol. |volume=16 |issue=3 |pages=187-94 |year=2002 |pmid=11930198 }}</ref> The causes are uncertain, but there is a definite correlation with increasing age and the presence of [[gallstones]] ([[cholelithiasis]]). Most affected individuals do not have symptoms. The gallbladder polyps are detected during abdominal ultrasonography performed for other reasons. | ||
==Natural History, Complications and Prognosis== | ==Risk Factors== | ||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
===Natural History=== | |||
After considering the type of polyps, the risk of development of cancer should be determined. Most demographic data suggest that men and women have an equal propensity to develop adenomatous polyps, however, one study found that men had an increased risk of polyp development. In addition, several studies have noted that patients with [[primary sclerosing cholangitis]] (PSC) that have polyps are more likely to develop adenocarcinoma. Finally, patients with advancing age may be predisposed to have cancer because some data suggests that gallbladder polyps, like colonic polyps, have an adenoma-to-carcinoma sequence and, therefore, advancing age would permit malignant transformation. | After considering the type of polyps, the risk of development of cancer should be determined. Most demographic data suggest that men and women have an equal propensity to develop adenomatous polyps, however, one study found that men had an increased risk of polyp development. In addition, several studies have noted that patients with [[primary sclerosing cholangitis]] (PSC) that have polyps are more likely to develop adenocarcinoma. Finally, patients with advancing age may be predisposed to have cancer because some data suggests that gallbladder polyps, like colonic polyps, have an adenoma-to-carcinoma sequence and, therefore, advancing age would permit malignant transformation. | ||
===Complications=== | |||
===Prognosis=== | |||
==Diagnosis== | |||
===Diagnostic Criteria=== | |||
===History and Symptoms=== | |||
Most polyps do not cause noticeable symptoms. Gallbladder polyps are usually found incidentally when examining the abdomen by ultrasound for other conditions, usually abdominal pain. | |||
===Physical Examination=== | |||
===Laboratory Findings=== | |||
===Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | |||
===Medical Therapy=== | |||
===Surgery=== | |||
===Prevention=== | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Hepatology]] | |||
{{WS}} | |||
{{WH}} | |||
Latest revision as of 15:40, 15 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Gallbladder polyps are a common clinical findings occurring in 5% of patients who often have cross-sectional imaging for non-specific abdominal symptoms.
Historical Perspective
Classification
Pathophysiology
In patients with gallbladder polyps, it is important to note what type of polyp is described. While true polyps are adenomatous, gallbladder polyps are often non-epithelial growths and, in fact, about 70% of polyps are cholesterol polyps that have no malignant potential. Adenomas are uncommon and constitute approximately 8% of all gallbladder polyps. Less common polypoid lesions include gallbladder adenocarcinomas, inflammatory polyps, gallstones masquerading as polyps and heterotopic tissue.
Causes
Differentiating Gallbladder polyp overview from Other Diseases
Epidemiology and Demographics
The incidence of gallbladder polyps is higher among men than women. The overall prevalence among men of Chinese ancestry is 9.5%, higher than other ethnic types. [1] Polypoid lesions of the gallbladder affect approximately 5% of the adult population.[2] The causes are uncertain, but there is a definite correlation with increasing age and the presence of gallstones (cholelithiasis). Most affected individuals do not have symptoms. The gallbladder polyps are detected during abdominal ultrasonography performed for other reasons.
Risk Factors
Screening
Natural History, Complications, and Prognosis
Natural History
After considering the type of polyps, the risk of development of cancer should be determined. Most demographic data suggest that men and women have an equal propensity to develop adenomatous polyps, however, one study found that men had an increased risk of polyp development. In addition, several studies have noted that patients with primary sclerosing cholangitis (PSC) that have polyps are more likely to develop adenocarcinoma. Finally, patients with advancing age may be predisposed to have cancer because some data suggests that gallbladder polyps, like colonic polyps, have an adenoma-to-carcinoma sequence and, therefore, advancing age would permit malignant transformation.
Complications
Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Most polyps do not cause noticeable symptoms. Gallbladder polyps are usually found incidentally when examining the abdomen by ultrasound for other conditions, usually abdominal pain.
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
References
- ↑ Lin WR, Lin DY, Tai DI, Hsieh SY, Lin CY, Sheen IS, Chiu CT (2008). "Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34,669 cases". Journal of Gastroenterol Hepatology. 23 (6): 965–9. PMID 17725602.
- ↑ Myers RP, Shaffer EA, Beck PL (2002). "Gallbladder polyps: epidemiology, natural history and management". Can J Gastroenterol. 16 (3): 187–94. PMID 11930198.