Gallbladder Polyps

Demirbaş, Fatma; Çaltepe, Gönül; Comba, Atakan; Bilgin, Meltem Ceyhan; Eren, Esra; Abbasguliyev, Hasan; Kalaycı, Ayhan Gazi

doi:10.1097/mpg.0000000000002269

Cited by 8 publications

(8 citation statements)

References 35 publications

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“…However, no link has been established with gender, obesity, exogenous sex hormones, or hyperlipidemia in pediatric cases. 1 , 10 In our series, serum lipids were within the normal limits in all patients including patients with cholesterol polyps.…”

Section: Discussionsupporting

confidence: 55%

“…The median age of the patients varies from 10 to 13 years in different series. 1 , 2 Although females are significantly outnumbering males, there was no sex predilection in the current series. The incidence of symptomatic cases is reported to be as high as 50% for pediatric cases.…”

Section: Discussionmentioning

confidence: 45%

“…Similar to the previous series, our results showed that GP might display different clinical courses in children. 1 , 2 During the observational period, GP may either increase in size or may disappear. Surveillance with the US can be performed for asymptomatic patients with less than 10-mm polyps.…”

Section: Discussionmentioning

confidence: 99%

“…Gallbladder polyps (GP) are rare lesions protruding into the gallbladder lumen resulting from the proliferation of biliary mucosa. 1 The widespread use of high-quality ultrasonography (US) leads to an increase in the detection of GP in both symptomatic and asymptomatic patients. 2 The incidence of GP was reported to be 4%-7% in patients undergoing US.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Features and Outcomes of Gallbladder Polyps in Children

Ferzeliyev¹,

Oğuz²,

Soyer³

et al. 2022

Turk J Gastroenterol

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Background: Gallbladder polyps are rare lesions protruding into the gallbladder lumen with variable clinical presentation. No standard treatment algorithm has been developed for pediatric gallbladders, and the malignant potential of the gallbladder is not clear in children. Therefore, a retrospective study was performed to evaluate the clinical features and treatment options of gallbladder polyps in children. Methods: Between 2014 and 2020, children diagnosed with gallbladder polyps were evaluated for age, gender, clinical features, results of follow-up with ultrasound findings, and treatment options retrospectively. Results: The records of 15 patients with a mean age of 13.2 years (2-20 years) were included. The male: female ratio was 7 : 8. Gallbladder polyps was detected incidentally in 73.3% (n = 11) of the patients. Four (20%) of the patients were symptomatic (26.7%) and complained about abdominal pain. Laboratory tests were normal except in 3 patients who showed slightly increased liver function tests. Two of the patients had 3 polyps on admission. The polyps were 2-10 mm in size. The size of the polyp increased in 5 patients (33.3%) and disappeared in 4 patients (26.6%) in follow-up ultrasound examinations. Five of the patients underwent cholecystectomy and 1 of them was scheduled for surgery. Five of the asymptomatic patients who have polyps less than 10 mm in size are still on follow-up. In patients with cholecystectomy, the histopathology of gallbladders revealed cholesterol polyps (n = 2) and hyperplastic polyps (n = 2). One of the patients with cholecystectomy showed no polyps in histopathological evaluation. Conclusion : Despite the lack of a standardized algorithm, our data suggested that multiple polyps, polyps with increased in size or greater than 10 mm, and the presence of symptoms might require cholecystectomy in children. Asymptomatic patients with small-sized polyps can be identified using ultrasound, and the polyps may disappear during the subsequent follow-up.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Features and Outcomes of Gallbladder Polyps in Children

Ferzeliyev¹,

Oğuz²,

Soyer³

et al. 2022

Turk J Gastroenterol

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“…Çocukluk çağında safra kesesine ait kitlesel lezyonlar nadir görülür. Genel olarak safra kesesi poliplerinin, semptomatik olduğunda ve boyut artışı görüldüğünde kolesistektomi gerektirdiği kabul edilir (10) . Benzer şekilde bizim çalışmamızda da safra kesesi polibi nedeniyle kolesistektomi yapılan hastaların üçü de semptomatikti ve boyutları 8 mm'nin üzerindeydi.…”

Section: Discussionunclassified