Gallbladder Disease And Its Treatment

Most gallbladder polyps are benign, but there is still a small risk that they will develop into cancer, so when you see signs of gallbladder polyps, you need to see and treat immediately.
What is gall bladder disease?
Gallbladder polyps are tumor lesions or pseudobulbs that develop on the surface of the gallbladder mucosa, an organizational form that grows from the wall of the gall bladder to bulge into the gallbladder.
Gallbladder polyps occur at any age but will be weak in all ages, women are more susceptible than men, especially in the age of 30-50.
Images of gallbladder polyps in the liver
What causes gallbladder polyps?
Cholesterol polyps
Most gallbladder polyps are in the form of cholesterol polyps, less than 10 mm in diameter and polyps. Cholesterol deposition on the walls of the gallbladder causes polyps to form, so ultrasound is easy to detect

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Inflammatory polyps
Inflammatory polyps are essentially scar tissue, caused by chronic inflammatory lesions on the walls of the gallbladder. The diameter of polyps is usually smaller than 10 mm, the feet are wide and do not cause cancer, so patients are assured.
Polypenoma
Adenoma is a form of precancerous lesions, ranging in size from 5 to 20 mm, with or without stem, appearing singly and related to gallbladder disease or chronic cholecystitis
This polyp is rare and only discovered by accident through diagnostic imaging or formed after cholecystectomy.




Polyp hypertrophy
People at risk of developing hypertrophic polyps are adults, the rate increases with age. Polyps usually appear singly and located at the bottom of the gallbladder, potentially developing into cancer.
Symptoms of gallbladder polyps
Gallbladder polyps cause disorders of the gallbladder, discharge from the gallbladder, gallbladder stones or associated gallbladder inflammation.
The patient will experience mild pain in the right or epigastric region, pain after eating, feeling of fullness, indigestion and vomiting, nausea.
Right flank pain is a symptom of gallbladder polyps
Is gall bladder polyps dangerous?
Most gallbladder polyps are benign, but there is still a small risk that they will develop into cancer in cases such as polyps larger than 1cm, polyps, vacuum polyps, polyp sizes fast in a short time. Factors that increase the possibility of malignant polyps are as follows:
Age: Gallbladder polyps are at a higher risk of malignancy in patients older than 50 years
Polyp size:
+ ≤ 10mm: benign polyps should not need surgery, patients can fully live peacefully with polyps. You only need to monitor your abdomen annually to see if the polyps are growing
+ 11 ≤ d ≤ 17mm: Polyps are benign but may turn into malignant so they should be considered for surgery.




+ d ≥ 18mm high risk of malignancy so absolutely surgery is indicated.
Appearance: Sessile polyps have a higher risk of malignancy than peduncle polyps.
Quantity: Malignant polyps usually appear alone, while benign polyps are usually polyps. However, this is only a hypothesis, but there is no specific evidence proving that single gallbladder polyps have a higher risk of malignancy than polyps.
Appears with gallstones
Chronic cholecystitis: If you have chronic cholecystitis, you should have surgery for gallbladder polyps as soon as possible regardless of size or shape.
Diagnosis of gallbladder polyps
Supersonic
The exact diagnostic rate of ultrasound for gallbladder polyps is over 90%. Ultrasound helps identify gallbladder polyps from their location, size, shape and track their progress for appropriate treatment.
CT scan abdomen
Contrast-enhanced CT pumps provide an accurate diagnosis of nearly 90% in cases of malignant polyps
CT scan abdomen
Magnetic resonance imaging (MRI)
Magnetic resonance imaging is indicated for suspected malignant polyps.



In MRI polyp film is the signaling mass at T2.
How to treat gallbladder polyps
When do gall bladder polyp surgery?
Whether or not to have polyp surgery depends on the size of the polyp, with polyps larger than 10mm, the doctor will order gallbladder surgery to prevent cancer risk. In addition, if the suspect polyps turn into cancer during the follow-up will also be assigned immediately surgery:
Polyps grow rapidly in number, size after a few months, abnormal morphology: spread legs, rough shape
Gallbladder polyps are attached with gallstones, polyps
For polyps smaller than 10 mm, it is only necessary to have a ultrasound every 6 months for a period of 1.5 years - 2 years, if the polyps do not change or disappear after the follow-up time, it will be determined as benign and no intervention is needed.
Food to eat
Fruits are rich in vitamins (B, C, D, E), minerals that help promote liver and bile health, limiting the risk of polyps formation and development.
Fiber-rich green vegetables and fruits help limit the absorption of fat in the intestines, preventing symptoms such as bloating and indigestion.
Use vegetable fats like olive oil, almonds, sunflower, etc.
Foods to avoid
Saturated fats such as animal fat, fried foods, fried foods, fast food .



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Foods with high cholesterol such as egg yolks, animal viscera, cheese ....

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