Gallbladder polyp treatment in Bangalore


Dr Adarsh M Patil 1 copyDr Adarsh M Patil. mbbs. ms. (mrcs) FICS. FIAP.

  • Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
  • He has experience of treating numerous gallbladder polyps  patients successfully in Bangalore .
  • He believes  that Patient safety comes first and strives to provide exceptional service to patients.

 

Call Now –  +91- 9972446882

Book Appointment

 

What is a gallbladder polyp ?

Lesions that project from the gallbladder wall into the gall bladder interior are called gallbladder polyps (GPs).

How is a gallbladder polyp diagnosed ?

Diagnosis of gallbladder polyp has increased greatly due to widespread use of abdominal ultrasound,and is now a common motive for surgery consul tations.
In the majority of patients, diagnosis is an incidental finding of a routine abdominal ultrasound, or of one performed because of another pathology.
Gallbladder polyps are diagnosed in around 5% of patients in the general population.

Gallbladder polyp treatment in Bangalore

Gallbladder polyp treatment in Bangalore

What are different types of gallbladder polyp ?

Gallbladder polyps are classified as benign or malignant.

Benign GPs are subdivided into:

  • Pseudotumors (cholesterol polyps, inflammatory polyps; cholesterolosis and hyperplasia);
  • Opithelial tumors (adenomas) and
  • Mesenchymatous tumors (fibroma, lipoma, hemangioma).

Malignant GPs are gallbladder

  • carcinomas.

Recent studies have shown that the majority of GPs are benign and that 90% of them are cholesterol polyps. These emerge because of cholesterin decompensation,with accumulation of cholesterol in histiocytes covered with columnar epithelium. They are normally attached to the vesicular mucosa by a delicate pedicle, are characteristically found in multiples (>3) and are small and the gallbladder mucosa is intact.
Inflammatory polyps are uncommon. They are local epithelial proliferation inflammatory reactions with infiltration of inflamma-tory cells and are often associated with chronic cholecystitis.

Although adenomas are benign polyps they can exhibit premalignant behavior.

These lesions are habitually pedun-culated single lesions and may be associated with gallstones or chronic cholecystitis.for Gallbladder polyp treatment in Bangalore

The poor prognosis of gallbladder carcinoma patients means it is important to differentiate between benign polyps and malig-nant or premalignant polyps, in order to choose the appropriate treatment.

Why should they be treated ?

  • In the majority of patients, diagnosis of gallbladder polyps is an incidental finding or following cholecystectomy for acute or chronic cholecystitis.
    Even though most of the gallbladder polyps are benign in nature, malignant polyps are found in some cases.
  • Because advanced gallbladder cancer displays poor prognosis, early detection and appropriate early measure are important for curative treatment and long-term survival.
  • The primary goal in the management of gallbladder polyps is to prevent the development of gallbladder carcinoma, even though it is a rare illness.
  • Therefore, better understanding of clinicopathologic characteristics and further investigations into risk factors for gallbladder polyps are necessary for establishment of appropriate treatment strategies for Gallbladder polyp treatment in Bangalore.

Is cholecystectomy necessary for Gallbladder polyp treatment in Bangalore?

  • If there are signs of malignancy, the patient should have a cholecystectomy in a hospital where a prompt liver resection could be performed. In doubtful cases, a laparoscopic approached may be tried, and a cholecystectomy performed if there are no signs of growth to the serosa at laparoscopy.
  • If there are signs of growth in the serosa, an open approach must be recommended and – if a frozen section shows malignancy – a resection of the nearby liver segments and the tissue in the duodeno-hepatic ligament may be tried. Also if frozen section shows malignancy after laparoscopic cholecystectomy, an enlarged resection must be considered during the same surgical procedure.
  • In patients with age ≥60 years, sessile polyp morphology, and polyp size ≥10 mm, a generous approach to EUS or multislice CT (in the future maybe virtual gallbladder scopy?) for closer characterization should be the normal.
  • In all cases where there are indications of malignancy, a cholecystectomy should be recommended for Gallbladder polyp treatment in Bangalore .
  • If there are no signs of malignancy, a follow-up with the same modality is done after 6 months. If by 6 months there is no changes in size, contour, or vascualrity, the follow-up should be individualized – most often a follow-up after another 12 months could be recommended.
  • For polyps 6–9 mm in diameter without signs of malignancy, a new US is recommended after 6 months. If the does not show any significant changes a new US is recommended after another 12 months and if no changes is found than no further imaging studies are made.

 

 

Dr Adarsh M Patil 1 copyDr Adarsh M Patil. mbbs. ms. (mrcs) FICS. FIAP.

  • Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
  • He has experience of treating numerous gallbladder polyps  patients successfully in Bangalore .
  • He believes  that Patient safety comes first and strives to provide exceptional service to patients.

Call Now –  +91- 9972446882

Book Appointment